Individual
JAMES L SALASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
(920) 926-8885
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
(920) 926-8885
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1387
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39092000
—
WI
Enumeration date
08/08/2006
Last updated
07/08/2007
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