| Sundance Psychological | |
|
2920 East Ave S Ste 100 La Crosse WI 54601-8282 | |
| (608) 218-4234 | |
| Not Available |
| Full Name | Sundance Psychological |
|---|---|
| Speciality | Psychologist |
| Location | 2920 East Ave S Ste 100, La Crosse, Wisconsin |
| Authorized Official Name and Position | Meganruth Christine Schumacher-martinez (OWNER) |
| Authorized Official Contact | 6082184234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Psychological 2920 East Ave S Ste 100 La Crosse WI 54601-8282 Ph: (608) 218-4234 | Sundance Psychological 2920 East Ave S Ste 100 La Crosse WI 54601-8282 Ph: (608) 218-4234 |
| NPI Number | 1700617123 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700617123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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