| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/08/2023 |
| Medicare PECOS PAC ID | 5092172064 |
|---|---|
| Medicare Enrollment ID | O20230606003246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427758481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Adam Sturdevant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457585614 PECOS PAC ID: 5092117523 Enrollment ID: I20210707000979 |
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