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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