SearchWisconsin103TC0700X

Deirdre Radosevich, PHD

NPI 1851535009 · on the registry since 2009 · sole proprietor

Practice

Address
5317 W Grande Market Dr Ste F7
Appleton, WI 54913
Phone
(920) 430-0736
Organisation at this address
Bay Center Therapy
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-18

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