| Andrea Labine, Ph.d Llc | |
|
1039 W Mason St 116 Green Bay WI 54303-1842 | |
| (920) 965-7713 | |
| (920) 496-7922 |
| Full Name | Andrea Labine, Ph.d Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1039 W Mason St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Andrea Labine (OWNER-CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9209657713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Labine, Ph.d Llc 1039 W Mason St 116 Green Bay WI 54303-1842 Ph: (920) 965-7713 | Andrea Labine, Ph.d Llc 1039 W Mason St 116 Green Bay WI 54303-1842 Ph: (920) 965-7713 |
| NPI Number | 1245688993 |
|---|---|
| Provider Enumeration Date | 06/02/2016 |
| Last Update Date | 06/02/2016 |
| Medicare PECOS PAC ID | 8921386590 |
|---|---|
| Medicare Enrollment ID | O20161102000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245688993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea L Labine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952526352 PECOS PAC ID: 8921999897 Enrollment ID: I20040322000542 |
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