Individual
CARLI R GURHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5047
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3902000000X
—
WI
Enumeration date
08/16/2022
Last updated
08/28/2023
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