Neuropsychological Consultants Inc | |
5017 Green Bay Rd Ste 130 Kenosha WI 53144-1782 | |
(262) 671-1334 | |
Not Available |
Full Name | Neuropsychological Consultants Inc |
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Speciality | Psychologist |
Location | 5017 Green Bay Rd Ste 130, Kenosha, Wisconsin |
Authorized Official Name and Position | Teresa M. D Deer (PRESIDENT) |
Authorized Official Contact | 8473086125 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuropsychological Consultants Inc 5017 Green Bay Rd Ste 130 Kenosha WI 53144-1782 Ph: (262) 671-1334 | Neuropsychological Consultants Inc 5017 Green Bay Rd Ste 130 Kenosha WI 53144-1782 Ph: (262) 671-1334 |
NPI Number | 1013059187 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 11/10/2023 |
Certification Date | 11/09/2023 |
Medicare PECOS PAC ID | 0648291401 |
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Medicare Enrollment ID | O20081110000086 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013059187 | NPI | - | NPPES |
0001635716 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Verna F Christy |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780769810 PECOS PAC ID: 0143266791 Enrollment ID: I20050705000774 |
Provider Name | Teresa M Deer |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477515724 PECOS PAC ID: 8628099488 Enrollment ID: I20081110000074 |
Provider Name | June A Restrepo |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1669799508 PECOS PAC ID: 6800081340 Enrollment ID: I20101110000998 |
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