Midlands Psychological Associates, LLC

NPI #1285676593 in Lodi, Wisconsin

Provider Information

NPI Number: 1285676593
Entity Type: Organization
Organization Name: Midlands Psychological Associates, LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jun 12, 2006
Last Updated: Mar 18, 2013

Practice Location

Address: 336 LODI ST
City: Lodi
State: Wisconsin
ZIP Code: 53555-1418
Phone: (608) 592-2080

Authorized Official

Name: RONALD BRUCE JOHNSON, PHD
Title: OWNER/PARTNER
Phone: (608) 592-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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