Organization
NEUROPSYCHOLOGY OF GREEN BAY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BOYD HITCH PH.D., ABPP (OWNER)
(920) 435-1508
Entity
Organization
Contact information
Practice address
2020 RIVERSIDE DR, SUITE 102, GREEN BAY, WI 54301-2300
(920) 435-1508
(920) 435-1585
Mailing address
2020 RIVERSIDE DR, SUITE 102, GREEN BAY, WI 54301-2300
(920) 435-1508
(920) 435-1585
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
994-57
WI
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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