NPI 1346622214

Bay Center Therapy

Organisation Clinical Psychologist Appleton, WI

Practice location

Address: 5317 W Grande Market Dr STE F7, Appleton, WI 54913-8465
Phone: (920) 430-0736
Mailing address: 3336 Cottage Hill Dr, Green Bay, WI 54311-6139

Authorised official

Name: Deirdre Radosevich
Title: Owner
Phone: (920) 430-0736

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

Other Psychologist providers in Wisconsin →

Registry record

NPI: 1346622214
Entity type: Organization
NPI issued: 26 Jun 2015
Record last updated: 18 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.