DR. Charles Mathew Lodl, PH.D.

NPI #1033132899 in Mequon, Wisconsin

Provider Information

NPI Number: 1033132899
Entity Type: Individual
Name: DR. Charles Mathew Lodl, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jul 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11501 N PORT WASHINGTON RD
Address 2: SUITE 210
City: Mequon
State: Wisconsin
ZIP Code: 53092-3466
Phone: (262) 241-8901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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