Organization
CAILLIER CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M CAILLIER PH.D. (DIRECTOR)
(715) 836-0064
Entity
Organization
Contact information
Practice address
2620 STEIN BLVD, EAU CLAIRE, WI 54701-6201
(715) 836-0064
(715) 836-0065
Mailing address
2620 STEIN BLVD, EAU CLAIRE, WI 54701-6201
(715) 836-0064
(715) 836-0065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1119
WI
103G00000X
Clinical Neuropsychologist
Primary
1119
WI
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42122900
—
WI
Enumeration date
10/19/2006
Last updated
07/22/2015
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