Organization
OMNE CLINIC, INC.
Active
Other names
ECP
Organization subpart
No
Provider details
NPI number
Authorized official
ANTON C SMETS PH.D, PSY.D. (OWNER/PRESIDENT)
(715) 514-4600
Entity
Organization
Contact information
Practice address
101 N. FARWELL STREET, STE. 204, EAU CLAIRE, WI 54703
(715) 514-4600
(715) 514-4008
Mailing address
101 N. FARWELL STREET, STE. 204, EAU CLAIRE, WI 54703
(715) 514-4600
(715) 514-4008
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1720
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412144500
—
WI
Enumeration date
08/18/2006
Last updated
11/19/2014
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