Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 3656-57 | WI |
Y | 103TC0700X | Clinical Psychologist | 3656-57 | WI |
NPI | 1003446089 |
---|---|
Provider Name | Dr. Mindee Juve |
First Address | Rochester, MI 48307-1537 |
Second Address | Appleton, WI 54914-1658 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2020 |
Last Update Date | 18/01/2020 |