| Tim Caufield, Phd Llc | |
|
484 N Pine St Burlington WI 53105-1417 | |
| (262) 492-6479 | |
| Not Available |
| Full Name | Tim Caufield, Phd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 484 N Pine St, Burlington, Wisconsin |
| Authorized Official Name and Position | Timothy George Caufield (PRESIDENT) |
| Authorized Official Contact | 2624926479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tim Caufield, Phd Llc 484 N Pine St Burlington WI 53105-1417 Ph: (262) 492-6479 | Tim Caufield, Phd Llc 484 N Pine St Burlington WI 53105-1417 Ph: (262) 492-6479 |
| NPI Number | 1821153594 |
|---|---|
| Provider Enumeration Date | 12/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821153594 | NPI | - | NPPES |
| 39076700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1329 (Wisconsin) | Primary |
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