| Lara Susan Head, PHD | |
|
1836 South Ave, La Crosse, WI 54601-5429 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Lara Susan Head |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 19 Years |
| Location | 1836 South Ave, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730328329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2786 (Wisconsin) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 1169 (Iowa) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gundersen Lutheran Medical Center Inc | 2163331414 | 793 |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Susan Head, PHD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Lara Susan Head, PHD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Dr. Michael David Smith, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Carol Goulet, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 507-284-1373 | |
Michelle Mcelligott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Meganruth Christine Schumacher-martinez, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2920 East Ave S Ste 100, La Crosse, WI 54601 Phone: 608-218-4234 | |
Kory Alexander Holzer, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4000 State Road 16, La Crosse, WI 54601 Phone: 608-304-8560 | |
Maria C Graf, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Kevin M Boland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467 |