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Individual

ANNE DI PRIMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY. D

Contact information

Practice address
7633 GANSER WAY, STE 204, MADISON, WI 53719-2092
(608) 829-1800
(608) 829-1885
Mailing address
2727 MARSHALL CT, MADISON, WI 53705-2255
(608) 238-9354
(608) 238-7675

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2284057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39134200
WI
Enumeration date
05/18/2006
Last updated
08/28/2014
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