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Organization

NEUROFEEDBACK TRAINING CLINICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM M STURDEVANT PSYD (CLINICAL DIRECTOR/PSYCHOLOGIST)
(920) 888-6868
Entity
Organization

Contact information

Practice address
425 S ADAMS ST STE 102, GREEN BAY, WI 54301-4117
(920) 888-5961
Mailing address
425 S ADAMS ST STE 102, GREEN BAY, WI 54301-4117
(920) 888-5961

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
03/08/2023
Last updated
03/08/2023
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