| Jessica Mijal, PSYD, LP | |
|
505 Broadway St, Baraboo, WI 53913-2183 | |
| (608) 355-4211 | |
| Not Available |
| Full Name | Jessica Mijal |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 505 Broadway St, Baraboo, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982966958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3026-57 (Wisconsin) | Primary |
| Entity Name | Sauk County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528056819 PECOS PAC ID: 7618931148 Enrollment ID: O20041115001185 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Mijal, PSYD, LP 2005 Tumbleweed Dr, Prairie Du Sac, WI 53578-1189 Ph: (612) 382-7593 | Jessica Mijal, PSYD, LP 505 Broadway St, Baraboo, WI 53913-2183 Ph: (608) 355-4211 |
Dr. Katherine Ann Halley, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 227 5th Ave, Baraboo, WI 53913 Phone: 608-356-9066 | |
Suzanne M Hockley Murry, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 Broadway St, Baraboo, WI 53913 Phone: 608-355-4200 | |
Thomas J. Hayes, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1002 Lincoln Ave, Baraboo, WI 53913 Phone: 608-356-9055 Fax: 608-356-5447 | |
Donna T. Rose, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1002 Lincoln Ave, Baraboo, WI 53913 Phone: 608-356-9055 Fax: 608-356-5447 |