Shannon Colleen Huff, EDS | |
531 3rd St S, Wisconsin Rapids, WI 54494 | |
(715) 323-6856 | |
Not Available |
Full Name | Shannon Colleen Huff |
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Gender | Female |
Speciality | Psychologist |
Location | 531 3rd St S, Wisconsin Rapids, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104166305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 885-58 (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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Shannon Colleen Huff, EDS 531 3rd St S, Wisconsin Rapids, WI 54494 Ph: (715) 323-6856 | Shannon Colleen Huff, EDS 531 3rd St S, Wisconsin Rapids, WI 54494 Ph: (715) 323-6856 |
Jessa Brynn Quick Voelker, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 320 W Grand Ave Ste 304a, Wisconsin Rapids, WI 54495 Phone: 715-424-6960 | |
Rebecca Diane Rodriguez, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 464 Daly Ave, Wisconsin Rapids, WI 54494 Phone: 715-423-2030 Fax: 715-423-2032 | |
Michael Jan Nelson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441 |