Dr Ellen Marie Meier-licht, PHD | |
1825 Witzel Ave, Oshkosh, WI 54902-5592 | |
(920) 558-3127 | |
Not Available |
Full Name | Dr Ellen Marie Meier-licht |
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Gender | Female |
Speciality | Psychologist |
Location | 1825 Witzel Ave, Oshkosh, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518529718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 3653-57 (Wisconsin) | Primary |
Entity Name | Ccp Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396431714 PECOS PAC ID: 7214394022 Enrollment ID: O20230609002780 |
Mailing Address | Practice Location Address |
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Dr Ellen Marie Meier-licht, PHD 1825 Witzel Ave, Oshkosh, WI 54902-5592 Ph: (920) 558-3127 | Dr Ellen Marie Meier-licht, PHD 1825 Witzel Ave, Oshkosh, WI 54902-5592 Ph: (920) 558-3127 |
Gary Ankarlo, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 414 Doctors Ct, Oshkosh, WI 54901 Phone: 920-456-2030 Fax: 920-456-2025 | |
Dr. Shelly Lynn Komondoros, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1855 S Koeller St, Oshkosh, WI 54902 Phone: 920-223-7350 | |
Douglas Clyde Brey, LLP Psychologist Medicare: Medicare Enrolled Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4700 Fax: 920-236-1157 | |
Stephanie Ross Potts, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 700 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-2030 | |
Dr. Julie Marie Grieves, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1119 E Parkway Ave, Oshkosh, WI 54901 Phone: 701-740-1552 | |
Dr. Louis William Topel, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Ave., Oshkosh, WI 54901 Phone: 920-236-4700 Fax: 715-732-7711 | |
Michael Daehn Iv, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4600 |