The Price Decker Clinic

NPI 1225194186 - Counselor - 101YM0800X

NPI Details
NPI 1225194186
Enumeration Date 12/28/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THERESA THERESA
Position OWNER THERAPIST
Phone (715) 362-5437
Fax
Practice Location
21 S BROWN ST
SUITE B
RHINELANDER WI, 54501-3450, US
Phone (715) 362-5437
Fax
Business Location
2905 ROLLINGWOOD LN
RHINELANDER WI, 54501-9187, US
Phone (715) 282-6107
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Wisconsin
License Number 2780-125
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According to our database, The Price Decker Clinic NPI is 1225194186, taxonomy code is 101YM0800X and license number is 2780-125, license state is located at Wisconsin. The Price Decker Clinic physically located at 21 S Brown St, Rhinelander WI, 54501-3450. NPI Number 1033115704 has the healthcare provider type.

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1225194186 NPI number is provided on an as is basis without warranty of any kind. 1225194186 is maintained by the National Plan & Provider Enumeration System. The contents of The Price Decker Clinic are for informational purposes only.