| Mente Salus Psychological Services, Llc | |
|
4319 Jeffers Rd Suite 101 Eau Claire WI 54703-3726 | |
| (715) 839-7240 | |
| (715) 839-7674 |
| Full Name | Mente Salus Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 4319 Jeffers Rd, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Nina Frances Albanese-kotar (SOLE MEMBER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7158397240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mente Salus Psychological Services, Llc 4319 Jeffers Rd Suite 101 Eau Claire WI 54703-3726 Ph: (715) 839-7240 | Mente Salus Psychological Services, Llc 4319 Jeffers Rd Suite 101 Eau Claire WI 54703-3726 Ph: (715) 839-7240 |
| NPI Number | 1699015636 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 02/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699015636 | NPI | - | NPPES |
| 1700105855 | Medicaid | WI | |
| 1700105855 | Other | NPI TYPE I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 2858-057 (Wisconsin) | Primary |
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