| Frank J Elmudesi Psyd Ltd | |
|
420 Madison St Lake Geneva WI 53147-1709 | |
| (251) 847-3094 | |
| Not Available |
| Full Name | Frank J Elmudesi Psyd Ltd |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 420 Madison St, Lake Geneva, Wisconsin |
| Authorized Official Name and Position | Frank J Elmudesi Psyd Ltd (OWNER) |
| Authorized Official Contact | 2518476207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank J Elmudesi Psyd Ltd 420 Madison St Lake Geneva WI 53147-1709 Ph: (251) 847-3094 | Frank J Elmudesi Psyd Ltd 420 Madison St Lake Geneva WI 53147-1709 Ph: (251) 847-3094 |
| NPI Number | 1699964817 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 01/27/2012 |
| Medicare PECOS PAC ID | 9638251671 |
|---|---|
| Medicare Enrollment ID | O20080129000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699964817 | NPI | - | NPPES |
| 39128400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 39128400 (Wisconsin) | Primary |
| Provider Name | Frank J Elmudesi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306909312 PECOS PAC ID: 9032291075 Enrollment ID: I20080129000567 |
Lake Geneva Wellness Clinic Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 750 Veterans Pkwy Unit 100, Lake Geneva, WI 53147 Phone: 262-248-7942 Fax: 262-248-1202 | |
Kb Psychotherapy & Emdr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 647 W Main St, Lake Geneva, WI 53147 Phone: 262-806-1467 | |
Lakes Area Counseling Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: W4226 W End Rd, Lake Geneva, WI 53147 Phone: 262-374-3444 | |
Mindful Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 Wrigley Dr, Lake Geneva, WI 53147 Phone: 414-899-0793 | |
Holding Space Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N2440 Ara Glen Dr Ste 203, Lake Geneva, WI 53147 Phone: 651-564-8456 | |
Bridgelight Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 647 W Main St Ste 500, Lake Geneva, WI 53147 Phone: 262-729-3143 | |
Irene Corzo And Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 772 W Main St, Suite 203, Lake Geneva, WI 53147 Phone: 262-374-4970 |