Individual
DR. CARY A JOHANNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
15664 LAX CHAPEL RD, KIEL, WI 53042-3335
(920) 980-8319
Mailing address
15664 LAX CHAPEL RD, KIEL, WI 53042-3335
(920) 980-8319
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2406-57
WI
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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