Individual
DR. JAMES PAUL LECLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
705 W MAIN ST, SUN PRAIRIE, WI 53590-2849
(608) 825-6663
(608) 825-6946
Mailing address
613 NIGHTINGALE LN, COTTAGE GROVE, WI 53527-9153
(608) 839-0063
(608) 839-0063
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1094-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39129800
—
WI
Enumeration date
10/11/2006
Last updated
07/09/2007
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