Harbor Health And Wellness Llc

NPI 1417359324 - Psychologist - 103T00000X

NPI Details
NPI 1417359324
Enumeration Date 09/23/2014
Last Updated 09/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MICHELLE R MICHELLE
Position OWNER
Phone (920) 883-6995
Fax (866) 201-3050
Practice Location
2701 LARSEN RD
STE 216
GREEN BAY WI, 54303-4863, US
Phone (920) 883-6995
Fax (866) 201-3050
Business Location
2701 LARSEN RD
STE 216
GREEN BAY WI, 54303-4863, US
Phone (920) 883-6995
Fax (866) 201-3050
Toxanomy
Taxonomy Code 103T00000X
License State Wisconsin
License Number 6671-123
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According to our database, Harbor Health And Wellness Llc NPI is 1417359324, taxonomy code is 103T00000X and license number is 6671-123, license state is located at Wisconsin. Harbor Health And Wellness Llc physically located at 2701 Larsen Rd, Green Bay WI, 54303-4863. NPI Number 1033115704 has the healthcare provider type.

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1417359324 NPI number is provided on an as is basis without warranty of any kind. 1417359324 is maintained by the National Plan & Provider Enumeration System. The contents of Harbor Health And Wellness Llc are for informational purposes only.