Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 813057 | WI |
Y | 103T00000X | Psychologist | 813057 | WI |
NPI | 1003999616 |
---|---|
Provider Name | Mr. Harvey Hilbert Honig |
First Address | Madison, WI 53713-1482 |
Second Address | Madison, WI 53713-1482 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35709 | NATIONAL REGISTER (01) | |
39041600 | (05) | WI |