| Plover Psychological Clinic, Llc | |
|
2840 Post Rd Plover WI 54467-3443 | |
| (715) 347-5570 | |
| (715) 347-5560 |
| Full Name | Plover Psychological Clinic, Llc |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 2840 Post Rd, Plover, Wisconsin |
| Authorized Official Name and Position | Sharon M Pallen (EXECUTIVE MANAGER) |
| Authorized Official Contact | 7153475570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plover Psychological Clinic, Llc 2840 Post Rd Plover WI 54467-3443 Ph: (715) 347-5570 | Plover Psychological Clinic, Llc 2840 Post Rd Plover WI 54467-3443 Ph: (715) 347-5570 |
| NPI Number | 1356489256 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356489256 | NPI | - | NPPES |
| 42243400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (Wisconsin) | Primary |
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