Individual
DIANE K RADISEWITZ ROMMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
212 11TH ST S, LA CROSSE, WI 54601-4116
(608) 392-9555
(608) 392-9432
Mailing address
212 11TH ST S, LA CROSSE, WI 54601-4116
(608) 392-9555
(608) 392-9432
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1417
WI
Other
Enumeration date
11/15/2005
Last updated
08/11/2010
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