Doctor Name: | DR. ROBERT WALTER BARTHELL |
NPI Number: | 1033304548 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY. D., LPC |
License Number: | |
Business Practice Address: | 2380 State Road 44 Ste A Oshkosh, WI - 549046439 |
Business Phone Number: | 9202302065 |
Business Fax Number: | 9202306565 |
Mailing Address: | 344 Edgewood Dr, NEENAH |
State: | WI |
Postal Code: | 549564617 |
Phone Number: | 9202302065 |
Fax Number: | 9202306565 |
NPI Enumeration Date: | 09/07/2007 |
NPI Last Update Date: | 09/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |