Individual
DR. GARY JAMES LOETHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
(608) 372-1263
Mailing address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
(608) 372-1263
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1914-057
WI
103TC0700X
Clinical Psychologist
—
IL
Other
Enumeration date
06/10/2006
Last updated
07/12/2007
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