| Jean M. Monty Phd Psychological Services Llc | |
|
14135 N Cedarburg Rd Mequon WI 53097-1416 | |
| (262) 377-2006 | |
| (262) 377-5552 |
| Full Name | Jean M. Monty Phd Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 14135 N Cedarburg Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Jean Marie Monty (PSYCHOLOGIST) |
| Authorized Official Contact | 2623772006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean M. Monty Phd Psychological Services Llc 14135 N Cedarburg Rd Mequon WI 53097-1416 Ph: (262) 377-2006 | Jean M. Monty Phd Psychological Services Llc 14135 N Cedarburg Rd Mequon WI 53097-1416 Ph: (262) 377-2006 |
| NPI Number | 1861790933 |
|---|---|
| Provider Enumeration Date | 03/14/2011 |
| Last Update Date | 03/29/2011 |
| Medicare PECOS PAC ID | 2163605163 |
|---|---|
| Medicare Enrollment ID | O20110329000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861790933 | NPI | - | NPPES |
| 1417001579 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1880 (Wisconsin) | Primary |
| Provider Name | Jean M Monty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417001579 PECOS PAC ID: 9638352545 Enrollment ID: I20110330000159 |
Jmd, Psychology, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14135 N Cedarburg Rd, Mequon, WI 53097 Phone: 262-261-3023 Fax: 262-377-5552 | |
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