| Sarah J. Krueger Ph.d. Llc | |
|
216 Green Bay Rd Ste 108 Thiensville WI 53092-1625 | |
| (262) 323-9490 | |
| Not Available |
| Full Name | Sarah J. Krueger Ph.d. Llc |
|---|---|
| Speciality | Counselor |
| Location | 216 Green Bay Rd Ste 108, Thiensville, Wisconsin |
| Authorized Official Name and Position | Sarah Joy Krueger (PROPRIETOR) |
| Authorized Official Contact | 2623239490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah J. Krueger Ph.d. Llc 5138 N Ardmore Ave Whitefish Bay WI 53217-5743 Ph: (262) 323-9490 | Sarah J. Krueger Ph.d. Llc 216 Green Bay Rd Ste 108 Thiensville WI 53092-1625 Ph: (262) 323-9490 |
| NPI Number | 1982001244 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 12/27/2018 |
| Medicare PECOS PAC ID | 2567775802 |
|---|---|
| Medicare Enrollment ID | O20150716000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982001244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5365-125 (Wisconsin) | Primary |
| Provider Name | Sarah J Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881091148 PECOS PAC ID: 9436462777 Enrollment ID: I20150716000685 |
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