Neurofeedback Training Clinics, Llc | |
425 S Adams St Ste 102 Green Bay WI 54301-4117 | |
(920) 888-5961 | |
Not Available |
Full Name | Neurofeedback Training Clinics, Llc |
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Speciality | Clinic/Center |
Location | 425 S Adams St Ste 102, Green Bay, Wisconsin |
Authorized Official Name and Position | Adam M Sturdevant (CLINICAL DIRECTOR/PSYCHOLOGIST) |
Authorized Official Contact | 9208886868 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurofeedback Training Clinics, Llc 425 S Adams St Ste 102 Green Bay WI 54301-4117 Ph: (920) 888-5961 | Neurofeedback Training Clinics, Llc 425 S Adams St Ste 102 Green Bay WI 54301-4117 Ph: (920) 888-5961 |
NPI Number | 1427758481 |
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Provider Enumeration Date | 03/08/2023 |
Last Update Date | 03/08/2023 |
Medicare PECOS PAC ID | 5092172064 |
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Medicare Enrollment ID | O20230606003246 |
Identifier | Type | State | Issuer |
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1427758481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Adam Sturdevant |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1457585614 PECOS PAC ID: 5092117523 Enrollment ID: I20210707000979 |
3d Brows And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Hoffman Rd Ste 106, Green Bay, WI 54301 Phone: 920-277-6989 | |