SearchWisconsin103T00000X

Michael Lace, PSYD

NPI 1023133022 · on the registry since 2007 · sole proprietor

Practice

Address
2141 Altoona Ave
Eau Claire, WI 54701
Phone
(715) 552-7350
Fax
(715) 878-9075
Organisation at this address
Christian Community Resources, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin