Mrs Megan J Burdick-grade, MA, LMFT | |
1478 Kenwood Ctr, Suite 1, Menasha, WI 54952-1161 | |
(920) 886-9319 | |
(920) 886-9357 |
Full Name | Mrs Megan J Burdick-grade |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1478 Kenwood Ctr, Menasha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235149642 | NPI | - | NPPES |
39798700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 595-124 (Wisconsin) | Primary |
Entity Name | Samaritan Counseling Center Of The Fox Valley, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538175195 PECOS PAC ID: 9234034349 Enrollment ID: O20031203000132 |
Mailing Address | Practice Location Address |
---|---|
Mrs Megan J Burdick-grade, MA, LMFT 3416 S Whip Poor Will Ln, Appleton, WI 54915-4563 Ph: (920) 993-2290 | Mrs Megan J Burdick-grade, MA, LMFT 1478 Kenwood Ctr, Suite 1, Menasha, WI 54952-1161 Ph: (920) 886-9319 |
Mrs. Karin Lager, MS LMFT SAC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1810 Appleton Road, Menasha, WI 54952 Phone: 920-739-4226 Fax: 920-739-7639 | |
Mr. John H. Peterson, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1478 Kenwood Ctr, Suite #1, Menasha, WI 54952 Phone: 920-886-9319 Fax: 920-886-9357 | |
Beth Young-verkuilen, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 806 Valley Rd Ste 21, Menasha, WI 54952 Phone: 920-882-9877 Fax: 920-882-9880 | |
Abby Griesbach, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 Fax: 920-720-3719 |