Individual
DR. ROGER J KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1315 W MAIN ST, WATERTOWN, WI 53094
(920) 261-4100
(920) 261-8801
Mailing address
PO BOX 364, WATERTOWN, WI 53094-0364
(920) 261-4100
(920) 261-8801
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1580057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011094
PHYSICIANS PLUS INS
WI
01
—
11259
DEAN CARE INS
WI
01
—
138422
MHN INSURANCE
WI
05
—
39101600
—
WI
01
—
39184249604
UNITY INSURANCE WATERTOWN
WI
01
—
39184249605
UNITY INS LAKE MILLS
WI
01
—
39184249608
JOHN DEERE HEALTH
—
01
—
6153731
UNITED BEHAVIORAL HEALTH
—
Enumeration date
08/03/2006
Last updated
07/08/2007
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