Organization
EICHENHOFER PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN EICHENHOFER JR. PH.D. (PSYCHOLOGIST)
(262) 241-1515
Entity
Organization
Contact information
Practice address
1035 W GLEN OAKS LN, SUITE 204, MEQUON, WI 53092-3392
(262) 241-1515
(262) 241-4530
Mailing address
1035 W GLEN OAKS LN, SUITE 204, MEQUON, WI 53092-3392
(262) 241-1515
(262) 241-4530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1457-57
WI
1041C0700X
Clinical Social Worker
Primary
2989-123
WI
106H00000X
Marriage & Family Therapist
308-124
WI
Other
Enumeration date
08/17/2011
Last updated
06/07/2013
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