Organization
EAU CLAIRE PSYCHOLOGISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTON C SMETS PH.D., PSY.D. (PARTNER)
(715) 514-4600
Entity
Organization
Contact information
Practice address
101 N FARWELL ST, STE. 204, EAU CLAIRE, WI 54703-3765
(715) 514-4600
(715) 514-4008
Mailing address
101 N FARWELL ST, STE. 204, EAU CLAIRE, WI 54703-3765
(715) 514-4600
(715) 514-4008
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1783-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39230200
—
WI
Enumeration date
10/25/2016
Last updated
12/27/2016
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