Individual
CALVIN JAY LANGMADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
17100 W NORTH AVE, SUITE 202, BROOKFIELD, WI 53005-4436
(262) 789-1818
(262) 789-5355
Mailing address
17100 W NORTH AVE, SUITE 202, BROOKFIELD, WI 53005-4436
(262) 789-1818
(262) 789-5355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1054-057
WI
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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