Dr Amber Nicole Hall, PSYD | |
258 Corporate Dr Ste 203, Madison, WI 53714-2407 | |
(855) 607-8242 | |
Not Available |
Full Name | Dr Amber Nicole Hall |
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Gender | Female |
Speciality | Psychologist |
Location | 258 Corporate Dr Ste 203, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1790132793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 3617-57 (Wisconsin) | Secondary |
103T00000X | Psychologist | 3617-57 (Wisconsin) | Primary |
Entity Name | Behavioral Health Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831442359 PECOS PAC ID: 8628409885 Enrollment ID: O20200504002000 |
Mailing Address | Practice Location Address |
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Dr Amber Nicole Hall, PSYD 630 S 36th Ave, Wausau, WI 54401-3930 Ph: (855) 607-8242 | Dr Amber Nicole Hall, PSYD 258 Corporate Dr Ste 203, Madison, WI 53714-2407 Ph: (855) 607-8242 |
Dr. Elliot Aaron Tebbe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 419 S Mills St, Madison, WI 53715 Phone: 320-339-9992 | |
Dr. Travis Fox, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4513 Vernon Blvd Ste 100, Madison, WI 53705 Phone: 503-730-0072 | |
Blake Bettis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1750 Fordem Ave Apt 704, Madison, WI 53704 Phone: 470-331-2534 | |
Ms. Patricia Ann Hanson, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7633 Ganser Way, Ste 204, Madison, WI 53719 Phone: 608-829-1800 Fax: 608-829-1885 | |
Dr. David C. Lee, PHD, JD Psychologist Medicare: Medicare Enrolled Practice Location: 1713 Camelot Dr, Madison, WI 53705 Phone: 608-301-1047 Fax: 608-301-1390 | |
Mr. Harvey Hilbert Honig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122 E Olin Ave, Ste 220, Madison, WI 53713 Phone: 608-255-9119 Fax: 608-255-9219 | |
Alyssa Walsh, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Highland Ave, Madison, WI 53705 Phone: 608-263-3301 |