| Neuropsychology Of Green Bay Ltd | |
|
2020 Riverside Dr Suite 102 Green Bay WI 54301-2300 | |
| (920) 435-1508 | |
| (920) 435-1585 |
| Full Name | Neuropsychology Of Green Bay Ltd |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2020 Riverside Dr, Green Bay, Wisconsin |
| Authorized Official Name and Position | William Boyd Hitch (OWNER) |
| Authorized Official Contact | 9204351508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology Of Green Bay Ltd 2020 Riverside Dr Suite 102 Green Bay WI 54301-2300 Ph: (920) 435-1508 | Neuropsychology Of Green Bay Ltd 2020 Riverside Dr Suite 102 Green Bay WI 54301-2300 Ph: (920) 435-1508 |
| NPI Number | 1558612028 |
|---|---|
| Provider Enumeration Date | 09/25/2012 |
| Last Update Date | 09/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558612028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 994-57 (Wisconsin) | Primary |
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