Individual
DR. TERESA DEPRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4938
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4938
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3768-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780368829
—
WI
Enumeration date
06/09/2023
Last updated
08/21/2024
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