Dr Catherine Anne Mcconnell, PHD | |
625 57th St Ste 502, Kenosha, WI 53140-4146 | |
(262) 419-2277 | |
(920) 215-6164 |
Full Name | Dr Catherine Anne Mcconnell |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 625 57th St Ste 502, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013061761 | NPI | - | NPPES |
7192312 | Other | IL | AETNA |
342856 | Other | IL | MHN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071006290 (Illinois) | Secondary |
103T00000X | Psychologist | 2336 (Wisconsin) | Primary |
Entity Name | Lk Anderson Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215401468 PECOS PAC ID: 8325489438 Enrollment ID: O20240507002543 |
Mailing Address | Practice Location Address |
---|---|
Dr Catherine Anne Mcconnell, PHD 325 N Commercial St, Neenah, WI 54956-2665 Ph: (262) 419-2277 | Dr Catherine Anne Mcconnell, PHD 625 57th St Ste 502, Kenosha, WI 53140-4146 Ph: (262) 419-2277 |
Melissa A Wingate, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7815 Fax: 262-948-7816 | |
Dr. Michael Matthew Mihajlovic, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218 | |
Hannah Anderson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6525 Green Bay Rd Ste 2, Kenosha, WI 53142 Phone: 262-492-5276 | |
Dr. Katherine M Flynn, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12225 71st St, Kenosha, WI 53142 Phone: 262-948-4780 | |
Danielle Defreese, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6839 | |
David T Marx, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218 |