Baraboo Psychological Services, Inc | |
227 5th Ave Baraboo WI 53913-2116 | |
(608) 356-9066 | |
(608) 356-9470 |
Full Name | Baraboo Psychological Services, Inc |
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Speciality | Counselor - Mental Health |
Location | 227 5th Ave, Baraboo, Wisconsin |
Authorized Official Name and Position | Deborah Jean Martin (THERAPIST) |
Authorized Official Contact | 6083569066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Baraboo Psychological Services, Inc 227 5th Ave Baraboo WI 53913-2116 Ph: (608) 356-9066 | Baraboo Psychological Services, Inc 227 5th Ave Baraboo WI 53913-2116 Ph: (608) 356-9066 |
NPI Number | 1174749725 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1174749725 | NPI | - | NPPES |
42213700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 396-44-800 (Wisconsin) | Primary |
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