Individual
DR. CONSTANCE LEE WOYTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
859 CHAPLIN CT, PLYMOUTH, WI 53073-1012
(920) 893-8000
Mailing address
859 CHAPLIN CT, PLYMOUTH, WI 53073-1012
(920) 893-8000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2322
WI
103TC2200X
Clinical Child & Adolescent Psychologist
2322
WI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
2322
WI
Other
Enumeration date
04/08/2007
Last updated
01/15/2015
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