Individual
DR. JONATHAN CALEB EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
N2846 STATE ROAD 67, WILLIAMS BAY, WI 53191-3771
(262) 245-5608
(262) 245-5648
Mailing address
N2846 STATE ROAD 67, WILLIAMS BAY, WI 53191-3771
(262) 245-5608
(262) 245-5648
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071.007571
IL
103TC0700X
Clinical Psychologist
Primary
3233-57
WI
Other
Enumeration date
12/03/2008
Last updated
03/23/2022
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