Individual
TODD C EIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3120 MEMORIAL DR, TWO RIVERS, WI 54241-3229
(920) 657-1780
(920) 657-1784
Mailing address
3120 MEMORIAL DR, TWO RIVERS, WI 54241-3229
(920) 657-1780
(920) 657-1784
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39784300
—
WI
Enumeration date
07/08/2006
Last updated
03/28/2022
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