| Northern Wisconsin Geriatric Psychological Services, Sc | |
|
859 Chaplin Ct Plymouth WI 53073-1012 | |
| (920) 893-8000 | |
| Not Available |
| Full Name | Northern Wisconsin Geriatric Psychological Services, Sc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 859 Chaplin Ct, Plymouth, Wisconsin |
| Authorized Official Name and Position | Constance L Woythal (OWNER) |
| Authorized Official Contact | 9208938000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Wisconsin Geriatric Psychological Services, Sc Po Box 750834 Forest Hills NY 11375-0834 Ph: (718) 268-6600 | Northern Wisconsin Geriatric Psychological Services, Sc 859 Chaplin Ct Plymouth WI 53073-1012 Ph: (920) 893-8000 |
| NPI Number | 1578955134 |
|---|---|
| Provider Enumeration Date | 02/19/2015 |
| Last Update Date | 02/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578955134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2322-57 (Wisconsin) | Primary |
Life Point Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2209 Eastern Ave, Plymouth, WI 53073 Phone: 920-892-7606 Fax: 920-449-4247 |