Wisconsin Psychological Center

NPI #1346446259 in Madison, Wisconsin

Provider Information

NPI Number: 1346446259
Entity Type: Organization
Organization Name: Wisconsin Psychological Center
Primary Specialty: Psychologist
Enumeration Date: Jun 26, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 49 KESSEL CT
Address 2: SUITE 204
City: Madison
State: Wisconsin
ZIP Code: 53711-6275
Phone: (608) 270-1800

Authorized Official

Name: DR. MARCELO TRINIDAD-CARRILLO, PH.D.
Title: PSYCHOLOGIST
Phone: (608) 270-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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