Individual
JAY C CLEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3398 EAST MARIA DRIVE, STEVENS POINT, WI 54481
(715) 341-7441
Mailing address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
452
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39011200
—
WI
Enumeration date
01/10/2007
Last updated
07/09/2007
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