| Wkm Psychology Clinics, Inc. | |
|
6058 S Chestnut St Suite 100 Platteville WI 53818-8947 | |
| (608) 342-4853 | |
| (608) 342-4810 |
| Full Name | Wkm Psychology Clinics, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 6058 S Chestnut St, Platteville, Wisconsin |
| Authorized Official Name and Position | William Kent Miller (CLINIC DIRECTOR) |
| Authorized Official Contact | 6083424853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wkm Psychology Clinics, Inc. 6058 S Chestnut St Suite 100 Platteville WI 53818-8947 Ph: (608) 342-4853 | Wkm Psychology Clinics, Inc. 6058 S Chestnut St Suite 100 Platteville WI 53818-8947 Ph: (608) 342-4853 |
| NPI Number | 1659387009 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659387009 | NPI | - | NPPES |
| 42146000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 864 (Wisconsin) | Primary |
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