| Allyson Ende, Psyd Llc | |
|
227500 Rib Mountain Dr Ste 103 Wausau WI 54401-5052 | |
| (715) 348-2828 | |
| Not Available |
| Full Name | Allyson Ende, Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 227500 Rib Mountain Dr Ste 103, Wausau, Wisconsin |
| Authorized Official Name and Position | Allyson Ende (OWNER) |
| Authorized Official Contact | 7153482828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allyson Ende, Psyd Llc 1720 Highwood Ln Wausau WI 54403-8131 Ph: (715) 348-2828 | Allyson Ende, Psyd Llc 227500 Rib Mountain Dr Ste 103 Wausau WI 54401-5052 Ph: (715) 348-2828 |
| NPI Number | 1447824875 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Medicare PECOS PAC ID | 1254733835 |
|---|---|
| Medicare Enrollment ID | O20210706002640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447824875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Allyson R. Ende |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487866455 PECOS PAC ID: 2163824749 Enrollment ID: I20210706002855 |
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