| Psychosocial Services Llc | |
|
1661 N Water St Ste 308 Milwaukee WI 53202-2086 | |
| (906) 396-1040 | |
| Not Available |
| Full Name | Psychosocial Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1661 N Water St Ste 308, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Samantha Hurkmans (OWNER) |
| Authorized Official Contact | 9063961040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychosocial Services Llc 1661 N Water St Ste 308 Milwaukee WI 53202-2086 Ph: (906) 396-1040 | Psychosocial Services Llc 1661 N Water St Ste 308 Milwaukee WI 53202-2086 Ph: (906) 396-1040 |
| NPI Number | 1184332280 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Medicare PECOS PAC ID | 7810367042 |
|---|---|
| Medicare Enrollment ID | O20230105000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184332280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Samantha J Hurkmans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215416227 PECOS PAC ID: 8729412903 Enrollment ID: I20191220001262 |
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