Provider First Line Business Practice Location Address:
DEPT. OF PSYCHOLOGY, UNIVERSITY OF WATERLOO
Provider Second Line Business Practice Location Address:
200 UNIVERSITY AVENUE WEST
Provider Business Practice Location Address City Name:
WATERLOO
Provider Business Practice Location Address State Name:
ONTARIO
Provider Business Practice Location Address Postal Code:
N2L3G1
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
519-888-4567
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2019