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MS. JULIE A BOBHOLZ PHD

>> Clinical Neuropsychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1982659538

Individual Registrant:
MS. JULIE A BOBHOLZ PHD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2845 GREENBRIER RD STE. 340 GREEN BAY, WI 54311-6519 US
Tel: 920-288-8030  Fax: 920-288-8329

Contact information for business:
164 N BROADWAY  GREEN BAY, WI 54303-2728 US
Tel: 920-288-8030  Fax: 920-288-8329

Registration Information:
NPI: 1982659538
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
WI2241
N103T00000XBehavioral Health & Social Service Providers
Psychologist
WI2241
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
WI2241

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
HUMANA008000315O01
1982659538WI05




HEALTH CARE JOBS WI - Page 1



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