| Lifepath, LLC | |
|
1620 S Lawe St Appleton WI 54915-2400 | |
| (920) 996-0887 | |
| Not Available |
| Full Name | Lifepath, LLC |
|---|---|
| Speciality | Psychologist |
| Location | 1620 S Lawe St, Appleton, Wisconsin |
| Authorized Official Name and Position | Albert J Bellg (PRESIDENT) |
| Authorized Official Contact | 9209960887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifepath, LLC 1620 S Lawe St Appleton WI 54915-2400 Ph: (920) 996-0887 | Lifepath, LLC 1620 S Lawe St Appleton WI 54915-2400 Ph: (920) 996-0887 |
| NPI Number | 1407172299 |
|---|---|
| Provider Enumeration Date | 04/19/2010 |
| Last Update Date | 04/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407172299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2382-57 (Wisconsin) | Primary |
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