Individual
VICTORIA S LOUDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 1/2 W GENEVA ST, ELKHORN, WI 53121
(262) 723-3424
Mailing address
320 ARBOR RIDGE DR, DELAVAN, WI 53115-2961
(262) 728-6570
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
350000108827
WI
103T00000X
Psychologist
Primary
DPI #61
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40972300
—
WI
Enumeration date
02/15/2007
Last updated
07/08/2007
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