Mid Wisconsin Psychotherapy Associates | |
100 Bremmer St Stevens Point WI 54481-6032 | |
(715) 344-2016 | |
(715) 344-1715 |
Full Name | Mid Wisconsin Psychotherapy Associates |
---|---|
Speciality | Psychologist - Clinical |
Location | 100 Bremmer St, Stevens Point, Wisconsin |
Authorized Official Name and Position | Richard W. Hurlbut (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 7153442016 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mid Wisconsin Psychotherapy Associates 100 Bremmer St Stevens Point WI 54481-6032 Ph: (715) 344-2016 | Mid Wisconsin Psychotherapy Associates 100 Bremmer St Stevens Point WI 54481-6032 Ph: (715) 344-2016 |
NPI Number | 1487691341 |
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Provider Enumeration Date | 06/01/2006 |
Last Update Date | 08/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487691341 | NPI | - | NPPES |
39024400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 881 (Wisconsin) | Primary |
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