| Bay Center Therapy | |
|
5317 W Grande Market Dr Ste F7 Appleton WI 54913-8465 | |
| (920) 430-0736 | |
| Not Available |
| Full Name | Bay Center Therapy |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5317 W Grande Market Dr Ste F7, Appleton, Wisconsin |
| Authorized Official Name and Position | Deirdre Radosevich (OWNER) |
| Authorized Official Contact | 9204300736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Center Therapy 3336 Cottage Hill Dr Green Bay WI 54311-6139 Ph: (740) 972-1075 | Bay Center Therapy 5317 W Grande Market Dr Ste F7 Appleton WI 54913-8465 Ph: (920) 430-0736 |
| NPI Number | 1346622214 |
|---|---|
| Provider Enumeration Date | 06/26/2015 |
| Last Update Date | 09/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346622214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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