Theresa L Chinnery PHD

NPI 1962568014 - Psychologist - 103T00000X

NPI Details
NPI 1962568014
Gender Female
Enumeration Date 12/30/2006
Last Updated 11/23/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1095 MIDWAY RD
MENASHA WI, 54952-1115, US
Phone (920) 720-2300
Fax
Business Location
PO BOX 8003
APPLETON WI, 54912-8003, US
Phone (920) 996-3298
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Wisconsin
License Number 2634
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According to our database, Theresa L Chinnery PHD NPI is 1962568014, taxonomy code is 103T00000X and license number is 2634, license state is located at Wisconsin. Theresa L Chinnery PHD physically located at 1095 Midway Rd, Menasha WI, 54952-1115. NPI Number Theresa L Chinnery PHD has the Individual type.

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1962568014 NPI number is provided on an as is basis without warranty of any kind. 1962568014 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa L Chinnery PHD are for informational purposes only.