Timothy W Lichtenwald, PSYD | |
1000 N Oak Ave, Marshfield, WI 54449-5703 | |
(715) 387-5511 | |
Not Available |
Full Name | Timothy W Lichtenwald |
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Gender | Male |
Speciality | Psychologist |
Location | 1000 N Oak Ave, Marshfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457626467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1809 (Wisconsin) | Primary |
Entity Name | Marshfield Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Mchs Hospitals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Mailing Address | Practice Location Address |
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Timothy W Lichtenwald, PSYD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Timothy W Lichtenwald, PSYD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 |
Samantha Rose Eastberg, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
Joseph T Chojnacki, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5445 | |
Sarah R Kortenkamp, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
Kelsie-marie Offenwanger, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
Dr. David K Pelo, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5746 | |
Rachel Young, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
Michael D Miller, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-389-3176 |