| Wade Psychological Services Inc. | |
|
1930 W Lincoln Ave Goshen IN 46526-5907 | |
| (574) 534-2161 | |
| (574) 534-3887 |
| Full Name | Wade Psychological Services Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1930 W Lincoln Ave, Goshen, Indiana |
| Authorized Official Name and Position | Stefanie Wade (OWNER) |
| Authorized Official Contact | 5745342161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wade Psychological Services Inc. 1930 W Lincoln Ave Goshen IN 46526-5907 Ph: (574) 534-2161 | Wade Psychological Services Inc. 1930 W Lincoln Ave Goshen IN 46526-5907 Ph: (574) 534-2161 |
| NPI Number | 1104139682 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 07/26/2010 |
| Medicare PECOS PAC ID | 3375703192 |
|---|---|
| Medicare Enrollment ID | O20120402000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104139682 | NPI | - | NPPES |
| 200938090A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042314A (Indiana) | Primary |
| Provider Name | Stefanie G Wade |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841310471 PECOS PAC ID: 4587719026 Enrollment ID: I20090904000035 |
Change Architects Llp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Carly Lantz Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 S 3rd St, Goshen, IN 46526 Phone: 574-538-7960 | |
Lauren Boyle Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Shirley Claassen Dick Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 | |
Jennifer Miller Counseling, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Carrie Sommer Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 |