Individual
STUART J WALTONEN
Active
Individual
STUART J WALTONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1315
WI
103T00000X
Psychologist
1315
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39072400
—
WI
Enumeration date
08/21/2006
Last updated
09/11/2025
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