Organization
TIM CAUFIELD, PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY GEORGE CAUFIELD PH.D. (PRESIDENT)
(262) 492-6479
Entity
Organization
Contact information
Practice address
484 N PINE ST, BURLINGTON, WI 53105-1417
(262) 492-6479
Mailing address
484 N PINE ST, BURLINGTON, WI 53105-1417
(262) 492-6479
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1329
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39076700
—
WI
Enumeration date
12/23/2006
Last updated
08/22/2020
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