Individual
CONRAD VICTOR CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
10696 PARK LN, MARSHFIELD, WI 54449-9594
(715) 305-5113
(715) 223-1611
Mailing address
10696 PARK LN, MARSHFIELD, WI 54449-9594
(715) 305-5113
(715) 223-1611
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
289-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39064000
—
WI
Enumeration date
03/10/2014
Last updated
03/10/2014
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