Individual
PATRICIA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4785 HAYES RD STE 100, MADISON, WI 53704-7364
(608) 242-7160
Mailing address
4785 HAYES RD STE 100, MADISON, WI 53704-7364
(608) 242-7160
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3295-57
WI
Other
Enumeration date
08/21/2015
Last updated
08/04/2022
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