DR. Meera Rastogi, LIC. PSYCHOLOGIST

NPI #1023235462 in Madison, Wisconsin

Provider Information

NPI Number: 1023235462
Entity Type: Individual
Name: DR. Meera Rastogi, LIC. PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: LIC. PSYCHOLOGIST
Enumeration Date: Apr 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1000 EDGEWOOD COLLEGE DR
City: Madison
State: Wisconsin
ZIP Code: 53711-1997
Phone: (608) 663-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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