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Contact Information

BAY CENTER THERAPY
5317 W GRANDE MARKET DR STE F7
APPLETON, WI54913-8465
 Phone: 920-430-0736
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BAY CENTER THERAPY

NPI Number 1346622214
LBN Legal business name BAY CENTER THERAPY
Authorized official DEIRDRE RADOSEVICH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2015
Last updated 09/18/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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