Organization
CEDAR CREEK COUNSELING, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON C BLOEMER PH.D. (PSYCHOLOGIST)
(262) 240-0299
Entity
Organization
Contact information
Practice address
1035 W GLEN OAKS LN, SUITE 110, MEQUON, WI 53092-3392
(262) 240-0299
(262) 240-0308
Mailing address
1035 W GLEN OAKS LN, SUITE 110, MEQUON, WI 53092-3392
(262) 240-0299
(262) 240-0308
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
057-2140
WI
Other
Enumeration date
06/02/2009
Last updated
09/09/2015
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