Connections For Growth, Psychology Associates | |
5200 Washington Ave Suite 203 Racine WI 53406-4238 | |
(262) 637-8488 | |
(262) 637-8488 |
Full Name | Connections For Growth, Psychology Associates |
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Speciality | Psychologist |
Location | 5200 Washington Ave, Racine, Wisconsin |
Authorized Official Name and Position | Rosanne Katherine Poe (PSYCHOLOGIST) |
Authorized Official Contact | 2624922474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Connections For Growth, Psychology Associates N6404 East Paradise Rd Burlington WI 53105-2632 Ph: (262) 637-8488 | Connections For Growth, Psychology Associates 5200 Washington Ave Suite 203 Racine WI 53406-4238 Ph: (262) 637-8488 |
NPI Number | 1326469750 |
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Provider Enumeration Date | 01/03/2014 |
Last Update Date | 01/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326469750 | NPI | - | NPPES |
39083800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1302-057 (Wisconsin) | Primary |
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