Individual
BRIAN D JUNCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
600 HIGHLAND AVE, OFFICE E2.206, MADISON, WI 53792-0001
(608) 263-0432
(608) 263-1575
Mailing address
600 HIGHLAND AVE, OFFICE E2.206, MADISON, WI 53792-2424
(608) 263-0432
(608) 263-1575
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2619-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2619-057
HEALTH PSYCHOLOGIST
—
Enumeration date
11/09/2006
Last updated
07/08/2007
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