| Mind Matters Psychological Services, S.c. | |
|
1017 W Glen Oaks Ln Ste 167 Mequon WI 53092-3317 | |
| (414) 477-4264 | |
| Not Available |
| Full Name | Mind Matters Psychological Services, S.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1017 W Glen Oaks Ln Ste 167, Mequon, Wisconsin |
| Authorized Official Name and Position | Colleen Marie Drosdeck (CO-OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 4144774264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Matters Psychological Services, S.c. 319 E Clarence St Milwaukee WI 53207-1503 Ph: (414) 477-4264 | Mind Matters Psychological Services, S.c. 1017 W Glen Oaks Ln Ste 167 Mequon WI 53092-3317 Ph: (414) 477-4264 |
| NPI Number | 1891516472 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 8628505013 |
|---|---|
| Medicare Enrollment ID | O20241224001597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891516472 | NPI | - | NPPES |
| 1801027826 | Medicaid | WI | |
| 1154550754 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Colleen M Drosdeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801027826 PECOS PAC ID: 6103098215 Enrollment ID: I20111014000450 |
| Provider Name | Elizabeth L Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154550754 PECOS PAC ID: 6901048008 Enrollment ID: I20131226000210 |
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