Psychosocial Services Llc | |
1661 N Water St Ste 308 Milwaukee WI 53202-2086 | |
(906) 396-1040 | |
Not Available |
Full Name | Psychosocial Services Llc |
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Speciality | Psychologist |
Location | 1661 N Water St Ste 308, Milwaukee, Wisconsin |
Authorized Official Name and Position | Samantha Hurkmans (OWNER) |
Authorized Official Contact | 9063961040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Psychosocial Services Llc 1661 N Water St Ste 308 Milwaukee WI 53202-2086 Ph: (906) 396-1040 | Psychosocial Services Llc 1661 N Water St Ste 308 Milwaukee WI 53202-2086 Ph: (906) 396-1040 |
NPI Number | 1184332280 |
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Provider Enumeration Date | 11/08/2022 |
Last Update Date | 02/21/2023 |
Certification Date | 02/21/2023 |
Medicare PECOS PAC ID | 7810367042 |
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Medicare Enrollment ID | O20230105000827 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184332280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Samantha J Hurkmans |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1215416227 PECOS PAC ID: 8729412903 Enrollment ID: I20191220001262 |
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