Brian D Mamott, PHD

NPI #1326197484 in Monroe, Wisconsin

Provider Information

NPI Number: 1326197484
Entity Type: Individual
Name: Brian D Mamott, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jan 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 515 22ND AVE
City: Monroe
State: Wisconsin
ZIP Code: 53566-1569
Phone: (608) 324-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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