NPI 1114984176

Jerry W Halsten, PHD

Practitioner Clinical Neuropsychologist Madison, WI

Practice location

Address: 1313 Fish Hatchery Rd Dean Medical Center, Madison, WI 53715-1911
Phone: (608) 252-8000
Fax: (608) 252-8245

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1820-057 (WI)

Other Clinical Neuropsychologist providers in Wisconsin →

Registry record

NPI: 1114984176
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2006
Record last updated: 11 Mar 2021

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.