| King Psychological Services | |
|
1488 E Green Bay St Shawano WI 54166-2258 | |
| (715) 524-5355 | |
| Not Available |
| Full Name | King Psychological Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1488 E Green Bay St, Shawano, Wisconsin |
| Authorized Official Name and Position | Sandra L. King (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7155245355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Psychological Services 125 N Andrews St Shawano WI 54166-2441 Ph: (715) 524-5355 | King Psychological Services 1488 E Green Bay St Shawano WI 54166-2258 Ph: (715) 524-5355 |
| NPI Number | 1174781298 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174781298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1466-057 (Wisconsin) | Primary |
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