Individual
DR. DAVID E. LACOCQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
222 S BEDFORD ST, ISTHMUS PSYCHOTHERAPY, LLC, MADISON, WI 53703-3688
(608) 256-6570
(608) 256-4551
Mailing address
702 N BLACKHAWK AVE, SUITE 209, MADISON, WI 53705-3357
(608) 358-6868
(608) 441-3370
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2397057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39140500
—
WI
Enumeration date
11/08/2005
Last updated
03/15/2010
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