| Psychological Consulatnts S.c. | |
|
130 E. Walunt Street 604 Green Bay WI 54301 | |
| (920) 437-3854 | |
| (920) 437-7488 |
| Full Name | Psychological Consulatnts S.c. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 130 E. Walunt Street, Green Bay, Wisconsin |
| Authorized Official Name and Position | Ursula Bertrand (PRESIDENT) |
| Authorized Official Contact | 9204373854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Consulatnts S.c. 130 E. Walunt Street 604 Green Bay WI 54301 Ph: (920) 437-3854 | Psychological Consulatnts S.c. 130 E. Walunt Street 604 Green Bay WI 54301 Ph: (920) 437-3854 |
| NPI Number | 1992920300 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992920300 | NPI | - | NPPES |
| 42120100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2463-057 (Wisconsin) | Primary |
| 103TC1900X | Psychologist - Counseling | 1042 (Wisconsin) | Primary |
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