Todd C Eiden
Psychologist Counseling Psychologist
3120 Memorial Dr
Two Rivers
, Wisconsin 54241-3229
Todd C Eiden
Psychologist Counseling Psychologist
3120 Memorial Dr
Two Rivers
, Wisconsin 54241-3229
(920) 657-1784
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About
Features
Specialties
- Psychologist
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Todd C Eiden
- 3120 Memorial Dr
- Two Rivers, WI
- Zip : 54241-3229
- Fax : (920) 657-1784
- Phone : (920) 657-1780
Second Address
- Todd C Eiden
- 3120 Memorial Dr
- Two Rivers, WI
- Zip : 54241-3229
- Fax : (920) 657-1784
- Phone : (920) 657-1780
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | ||
| Y | 103T00000X | Psychologist | ||
| N | 103TC1900X | Counseling Psychologist | 2239057 | WI |
National Provider Identifier
| NPI | 1033142518 |
|---|---|
| Provider Name | Todd C Eiden |
| First Address | Two Rivers, WI 54241-3229 |
| Second Address | Two Rivers, WI 54241-3229 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2006 |
| Last Update Date | 04/10/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 39784300 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.