| Doctor Name: | DR. CONNIE A OHERON |
| NPI Number: | 1033166269 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 1751 |
| Business Practice Address: | 2620 Stewart Ave Suite 318 Wausau, WI - 544014170 |
| Business Phone Number: | 7158430803 |
| Business Fax Number: | |
| Mailing Address: | 2620 Stewart Ave, Suite 318 WAUSAU |
| State: | WI |
| Postal Code: | 544014170 |
| Phone Number: | 7158430803 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 12/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1751 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |