John E Prestby, PHD | |
9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | |
(414) 257-6995 | |
Not Available |
Full Name | John E Prestby |
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Gender | Male |
Speciality | Clinical Psychologist |
Experience | 36 Years |
Location | 9455 W Watertown Plank Rd, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184770752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1402-057 (Wisconsin) | Secondary |
103T00000X | Psychologist | 1402-057 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shore Counseling And Consulting Clinic Sc | 3072580547 | 10 |
Entity Name | Shore Counseling And Consulting Clinic Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588710073 PECOS PAC ID: 3072580547 Enrollment ID: O20040914000637 |
Mailing Address | Practice Location Address |
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John E Prestby, PHD 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 Ph: () - | John E Prestby, PHD 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 Ph: (414) 257-6995 |
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