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 | -- |
Post Comment/ Review Below
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.
NPI Number: 1790781573
Address: 1055 South Blvd E Ste 100, Rochester Hills, MI
NPI Number: 1023015195
Address: 1240 Highway 54 W Bldg 700 Ste 710, Fayetteville, GA