| Cdl Psychological Services, Inc. | |
|
410 Johnson Pkwy Hammond WI 54015-9678 | |
| (715) 497-7230 | |
| (715) 600-9041 |
| Full Name | Cdl Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 410 Johnson Pkwy, Hammond, Wisconsin |
| Authorized Official Name and Position | Greg William Anderson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7154977230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cdl Psychological Services, Inc. 410 Johnson Pkwy Hammond WI 54015-9678 Ph: (715) 497-7230 | Cdl Psychological Services, Inc. 410 Johnson Pkwy Hammond WI 54015-9678 Ph: (715) 497-7230 |
| NPI Number | 1982063897 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 09/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982063897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3349-57 (Wisconsin) | Primary |
Krista Demuth Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Davis St, Hammond, WI 54015 Phone: 612-567-9881 |