Individual
SARAH R KORTENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2385
WI
103T00000X
Psychologist
2385
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39137300
—
WI
Enumeration date
08/31/2006
Last updated
11/17/2023
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