Eichenhofer Psychological Services

NPI #1619257045 in Mequon, Wisconsin

Provider Information

NPI Number: 1619257045
Entity Type: Organization
Organization Name: Eichenhofer Psychological Services
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 17, 2011
Last Updated: Jun 7, 2013

Practice Location

Address: 1035 W GLEN OAKS LN
Address 2: SUITE 204
City: Mequon
State: Wisconsin
ZIP Code: 53092-3392
Phone: (262) 241-1515

Authorized Official

Name: DR. DAVID JOHN EICHENHOFER JR., PH.D.
Title: PSYCHOLOGIST
Phone: (262) 241-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Marriage & Family Therapist	106H00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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