Organization
WISCONSIN PSYCHOLOGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELO TRINIDAD-CARRILLO PH.D. (PSYCHOLOGIST)
(608) 270-1800
Entity
Organization
Contact information
Practice address
49 KESSEL CT, SUITE 204, MADISON, WI 53711-6275
(608) 270-1800
(608) 270-9731
Mailing address
PO BOX 930406, VERONA, WI 53593-0406
(608) 270-1800
(608) 270-9731
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2648
WI
Other
Enumeration date
06/26/2007
Last updated
06/18/2008
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