| Psychologie Clinique Sc | |
|
130 E Walnut St Suite 410 Green Bay WI 54301-4239 | |
| (920) 437-4490 | |
| (920) 437-4492 |
| Full Name | Psychologie Clinique Sc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 130 E Walnut St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Valerie Amelie Delain (PRESIDENT) |
| Authorized Official Contact | 9204374490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychologie Clinique Sc 130 E Walnut St Suite 410 Green Bay WI 54301-4239 Ph: (920) 437-4490 | Psychologie Clinique Sc 130 E Walnut St Suite 410 Green Bay WI 54301-4239 Ph: (920) 437-4490 |
| NPI Number | 1669676722 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669676722 | NPI | - | NPPES |
| 1530 | Other | WI | LICENSED PSYCHOLOGIST |
| 0810003479 | Other | VA | LICENSED CLINICAL PSYCHOL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1530 (Wisconsin) | Primary |
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