Individual
ROBERT NORMAN DEYOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1208 S WATERTOWN ST, WAUPUN, WI 53963-2309
(920) 324-4358
(920) 324-4737
Mailing address
1208 S WATERTOWN ST, WAUPUN, WI 53963-2309
(920) 324-4358
(920) 324-4737
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0655
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39008000
—
WI
Enumeration date
08/21/2006
Last updated
07/08/2007
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