NPI 1407172299

Lifepath, LLC

Organisation Psychologist Appleton, WI

Practice location

Address: 1620 S Lawe St, Appleton, WI 54915-2400
Phone: (920) 996-0887

Authorised official

Name: Albert J Bellg
Title: President
Phone: (920) 996-0887

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 2382-57 (WI)

Other Psychologist providers in Wisconsin →

Registry record

NPI: 1407172299
Entity type: Organization
NPI issued: 19 Apr 2010
Record last updated: 19 Apr 2010

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.