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Mind Team, LLC

Psychologist, Clinical in Stevens Point, WI. Organization (NPI-2).

NPI number1619690807
StatusActive
Last updated in NPPESSep 22, 2022

Details

NPI
1619690807
Entity type
Organization (NPI-2)
Legal business name
Mind Team, LLC
Organization subpart
Yes
Enumeration date
Sep 22, 2022
Certification date
Sep 21, 2022
Last updated
Sep 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical––Yes

Practice location

2417 Post Rd
Stevens Point, WI 54481-6124

Phone 715-842-9500

Mailing address

630 S 36th Ave
Wausau, WI 54401-3930

Authorized official

Amylyn Serrano
Psychology Technician
7158429500

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