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General NPI Number Information
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NPI Number | 1972342103
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Entity Type | Organization
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Legal Business Name | ROCK POINT PSYCHOLOGY LLC
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 08/25/2024
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Provider Practice Location Address
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Address Line | 500 N 1ST ST STE 2400
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City | WAUSAU
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State | WI
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Zip | 54403-4886
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Country | US
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Telephone | 715-322-3581
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Fax | 715-977-8675
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Provider Business Mailing Address
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Address Line | 500 N 1ST ST STE 2400
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City | WAUSAU
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State | WI
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Zip | 54403-4886
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Country | US
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Telephone | 715-322-3581
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Fax | 715-977-8675
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. JENNIFER LYNN MICHELS
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Credential | PHD
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Telephone | 715-322-3581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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