Baraboo Psychological Services, Inc in Baraboo - Mental Health

Baraboo Psychological Services, Inc - NPI 1174749725

Baraboo Psychological Services, Inc is a Mental Health in Baraboo, Wisconsin. Baraboo Psychological Services, Inc practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Baraboo Psychological Services, Inc is 1174749725. The last update date is 2020-08-22.

Baraboo Psychological Services, Inc's current location address is 227 5th Ave, Baraboo, Wisconsin. You can contact this provider via phone number 6083569066 and fax number 6083569470. The mailing address for Baraboo Psychological Services, Inc is 227 5th Ave, Baraboo, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Baraboo Psychological Services, Inc
Address 227 5th Ave, Baraboo, Wisconsin
Phone Number 6083569066
Fax Number 6083569470
Sole Proprietor --
Credentials --

Authorized Official

Title or Position THERAPIST
Authorized Official Name Martin Jean Deborah
Credentials MS, LPC
Telephone Number 6083569066

NPI Number Detail

NPI Number 1174749725
Provider Enumeration Date 2007-04-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 227 5th Ave
City Baraboo
State Wisconsin (WI)
Post Code 539132116
Phone Number 6083569066
Fax Number 6083569470

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 396-44-800
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42213700 WI --

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FAQs about Baraboo Psychological Services, Inc

What is the Baraboo Psychological Services, Inc's unique identification number?

The Baraboo Psychological Services, Inc has been assigned the NPI (National Provider Identifier) Number 1174749725 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Baraboo Psychological Services, Inc?

The Baraboo Psychological Services, Inc is physically situated at 227 5Th Ave, in the city of Baraboo, state of WI, with the postal code 539132116.

What is Baraboo Psychological Services, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Baraboo Psychological Services, Inc's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.

On what date did the Baraboo Psychological Services, Inc receive its 1174749725 assignment from the Centers for Medicare & Medicaid Services?

The Baraboo Psychological Services, Inc was assigned its 1174749725 by the Centers for Medicare & Medicaid Services on 2007-04-18.

When was the information regarding Baraboo Psychological Services, Inc most recently updated?

The details pertaining to the Baraboo Psychological Services, Inc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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