| Baycare Clinic, Llp | |
|
1305 W American Dr Neenah WI 54956-1993 | |
| (800) 753-9960 | |
| Not Available |
| Full Name | Baycare Clinic, Llp |
|---|---|
| Speciality | Psychologist |
| Location | 1305 W American Dr, Neenah, Wisconsin |
| Authorized Official Name and Position | Nicole Hettmann (PROVIDER CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9204909046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baycare Clinic, Llp Po Box 28900 Green Bay WI 54324-0900 Ph: (920) 490-9046 | Baycare Clinic, Llp 1305 W American Dr Neenah WI 54956-1993 Ph: (800) 753-9960 |
| NPI Number | 1003388208 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003388208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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