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Dr. John Walter Lace, PHD
Clinical Neuropsychologist in Green Bay, Wisconsin
NPI 1528705050

John Walter Lace is a Clinical Neuropsychologist based in Green Bay, WI. John Walter Lace practices in Green Bay, WI and has the professional credentials of PHD. The NPI Number for John Walter Lace is 1528705050 and holds a License No. 110965 (Wisconsin).

The current practice location address for John Walter Lace is 1821 S Webster Ave, Green Bay, WI and can be reached out via phone at 920-272-1610.

Location: 1821 S Webster Ave, Green Bay, WI, 54307-9070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528705050
Provider Name
John Walter Lace
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1821 S Webster Ave, Green Bay, WI, 54307-9070
Phone Number
920-272-1610
Fax Number
Provider Enumeration Date
05/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1821 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-2253
Phone Number
920-272-1610
Fax Number
person
Provider Business Mailing Address Details
Address
1821 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-2253
Phone Number
920-272-1610
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
5000-57 (Wisconsin)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
110965 (Iowa)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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