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Contact Information

RANDY J GAGE, PH. D.
2925 MONDOVI RD
EAU CLAIRE, WI54701-6141
 Phone: 715-832-0238
 Fax: 715-832-0771
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RANDY J GAGE · (Male)

NPI Number 1104004787
Status Active
Credentials PH. D.
Entity Individual
Enumeration date 02/05/2008
Last updated 12/06/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2614-057
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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