Omne Clinic, INC.
Psychologist, Cognitive & Behavioral in Eau Claire, WI. Organization (NPI-2).
NPI number1619081437
StatusActive
Last updated in NPPESNov 19, 2014
Details
- NPI
- 1619081437
- Entity type
- Organization (NPI-2)
- Legal business name
- Omne Clinic, INC.
- Organization subpart
- No
- Enumeration date
- Aug 18, 2006
- Last updated
- Nov 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TB0200X | Psychologist, Cognitive & Behavioral | 1720 | WI | Yes |
Other names
- Ecp (Doing Business As)
Practice location
101 N. Farwell StreetSte. 204
Eau Claire, WI 54703
Phone 715-514-4600 · Fax 715-514-4008
Mailing address
101 N. Farwell StreetSte. 204
Eau Claire, WI 54703
Phone 715-514-4600 · Fax 715-514-4008
Authorized official
Anton C Smets
Owner/President
7155144600
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