Organization
COUNSELING RESOURCES NEUROPSYCHOLOGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA A HUMPHREY PSY.D. (CLINIC DIRECTOR)
(608) 242-7160
Entity
Organization
Contact information
Practice address
4785 HAYES RD, SUITE 100, MADISON, WI 53704
(608) 242-7160
(608) 242-7153
Mailing address
4785 HAYES RD, SUITE 100, MADISON, WI 53704-7364
(608) 242-7160
(608) 242-7153
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932145430
—
WI
Enumeration date
06/22/2006
Last updated
08/04/2022
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