Jonathan James Mietchen, T-LMLP

NPI #1073030961 in Madison, Wisconsin

Provider Information

NPI Number
1073030961
Entity Type
Individual
Name
Jonathan James Mietchen, T-LMLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Clinical Neuropsychologist
Credential
T-LMLP
Enumeration Date
Aug 23, 2017
Last Updated
Feb 8, 2021

Practice Location

Address
600 HIGHLAND AVE
ZIP Code
53792-9469
Phone
(608) 263-5430

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical
Clinical Neuropsychologist

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