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Organization

RICHARD A HOHFELER III PSYD, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD AUGUST HOHFELER III PSYD (PRESIDENT)
(262) 569-8399
Entity
Organization

Contact information

Practice address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 351-7151
(414) 393-1640
Mailing address
4329 N SAWYER RD, OCONOMOWOC, WI 53066-4551
(262) 569-8399

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1295
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295
PSYCHOLOGY LICENSE
WI
05
39077400
WI
01
41277
NATIONAL REGISTER FOR HEALTH SERVICE PROVIDERS IN PSYCHOLOGY
WI
Enumeration date
05/21/2008
Last updated
10/20/2010
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