Terry R Kaddatz PSYD

NPI 1972648251 - Psychologist - 103T00000X

NPI Details
NPI 1972648251
Gender Male
Enumeration Date 02/21/2007
Last Updated 05/23/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
3398 EAST MARIA DRIVE
STEVENS POINT WI, 54481, US
Phone (715) 341-7441
Fax
Business Location
900 ILLINOIS AVENUE
STEVENS POINT WI, 54481, US
Phone
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Wisconsin
License Number 2013
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According to our database, Terry R Kaddatz PSYD NPI is 1972648251, taxonomy code is 103T00000X and license number is 2013, license state is located at Wisconsin. Terry R Kaddatz PSYD physically located at 3398 East Maria Drive, Stevens Point WI, 54481. NPI Number Terry R Kaddatz PSYD has the Individual type.

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1972648251 NPI number is provided on an as is basis without warranty of any kind. 1972648251 is maintained by the National Plan & Provider Enumeration System. The contents of Terry R Kaddatz PSYD are for informational purposes only.