MR. STEVEN ROBERT CLOTHIER


Address: 1488 Kenwood Dr, Menasha, WI 54952-1152
Phone: 9208839336

MR. STEVEN ROBERT CLOTHIER (NPI# 1437418985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437418985
Entity Type Individual
Full Name MR. STEVEN ROBERT CLOTHIER
Credential M.S.E.
Practice Address 1488 Kenwood Dr
Menasha
WI 54952-1152
Practice Telephone 9208839336
Mailing Telephone 9208839336
Enumeration Date 2012-05-03
Last Update Date 2012-05-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
890-58 WI Behavioral Health & Social Service Providers

Office Location

Street Address 1488 KENWOOD DR
City MENASHA
State WI
Zip Code 54952-1152

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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1902264328 Tonya Klem Psychologist 918 10th Ave E, Menomonie, WI 54751-2724 2016-01-29
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Competitor

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City MENASHA
Zip Code 54952

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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