| Samuel C Smith, PHD | |
|
509 Mcmillen St, Fort Atkinson, WI 53538-1263 | |
| (920) 563-7995 | |
| (920) 568-6047 |
| Full Name | Samuel C Smith |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 509 Mcmillen St, Fort Atkinson, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720002744 | NPI | - | NPPES |
| 39041100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 528-056 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel C Smith, PHD 509 Mcmillen St, Fort Atkinson, WI 53538-1263 Ph: (920) 563-7995 | Samuel C Smith, PHD 509 Mcmillen St, Fort Atkinson, WI 53538-1263 Ph: (920) 563-7995 |
Dr. Jill Mallin, PHD, LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 201 N Main St Ste 411, Fort Atkinson, WI 53538 Phone: 920-397-4015 Fax: 608-237-2146 | |
Dr. Sheila Kay Kozler Sr., PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1550 Madison Ave, Suite # 102-104, Fort Atkinson, WI 53538 Phone: 920-723-0307 | |
Randall L Daut, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-7995 Fax: 920-568-6047 | |
Nicholas J Bisenius, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-7995 Fax: 920-568-6047 | |
Stephen F Seaman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-4224 Fax: 920-563-4472 |