| Baraboo Psychological Services, Inc | |
|
227 5th Ave Baraboo WI 53913-2116 | |
| (608) 356-9066 | |
| (608) 356-9470 |
| Full Name | Baraboo Psychological Services, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 227 5th Ave, Baraboo, Wisconsin |
| Authorized Official Name and Position | Deborah Jean Martin (THERAPIST) |
| Authorized Official Contact | 6083569066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baraboo Psychological Services, Inc 227 5th Ave Baraboo WI 53913-2116 Ph: (608) 356-9066 | Baraboo Psychological Services, Inc 227 5th Ave Baraboo WI 53913-2116 Ph: (608) 356-9066 |
| NPI Number | 1174749725 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174749725 | NPI | - | NPPES |
| 42213700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 396-44-800 (Wisconsin) | Primary |
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