Individual
TERRENCE PATRICK MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4811 S 76TH ST, SUITE 208, GREENFIELD, WI 53220-4364
(262) 542-3255
(414) 817-0442
Mailing address
4811 S 76TH ST, SUITE 208, GREENFIELD, WI 53220-4364
(262) 542-3255
(414) 817-0442
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1873-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39260700
—
WI
Enumeration date
10/05/2006
Last updated
07/08/2007
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