King Psychological Services | |
1488 E Green Bay St Shawano WI 54166-2258 | |
(715) 524-5355 | |
Not Available |
Full Name | King Psychological Services |
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Speciality | Community/behavioral Health |
Location | 1488 E Green Bay St, Shawano, Wisconsin |
Authorized Official Name and Position | Sandra L. King (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 7155245355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
King Psychological Services 125 N Andrews St Shawano WI 54166-2441 Ph: (715) 524-5355 | King Psychological Services 1488 E Green Bay St Shawano WI 54166-2258 Ph: (715) 524-5355 |
NPI Number | 1174781298 |
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Provider Enumeration Date | 05/27/2008 |
Last Update Date | 05/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174781298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1466-057 (Wisconsin) | Primary |
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