Individual
JOHN R BRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 720-2300
(920) 720-3719
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1983-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487701645
GROUP NPI SOLUTIONS BEHAVIORAL HEALTH GROUP
—
01
—
1578620761
INDIVIDUAL NPI
—
01
—
1983-057
LICENSED PSYCHOLOGIST
WI
05
—
39128000
—
WI
05
—
42216200
—
WI
Enumeration date
01/03/2007
Last updated
12/05/2022
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