| Harbor Community Psychological Associates Sc | |
|
2701 Larsen Rd Green Bay WI 54303-4863 | |
| (920) 606-8734 | |
| (866) 201-3050 |
| Full Name | Harbor Community Psychological Associates Sc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2701 Larsen Rd, Green Bay, Wisconsin |
| Authorized Official Name and Position | Barbara Ann Roos (BILLING MANAGER) |
| Authorized Official Contact | 6305415040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Community Psychological Associates Sc Po Box 5714 De Pere WI 54115-5714 Ph: (920) 606-8734 | Harbor Community Psychological Associates Sc 2701 Larsen Rd Green Bay WI 54303-4863 Ph: (920) 606-8734 |
| NPI Number | 1720132806 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720132806 | NPI | - | NPPES |
| 84700 | Other | WI | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1598-057 (Wisconsin) | Primary |
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