| Ms Sionag M Black, PHD | |
|
200 Front Street, Suite 3d, Beaver Dam, WI 53916 | |
| (920) 885-2780 | |
| (920) 885-2788 |
| Full Name | Ms Sionag M Black |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 200 Front Street, Beaver Dam, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821049412 | NPI | - | NPPES |
| 39077100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1012057 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sionag M Black, PHD 200 Front Street, Suite 3d, Beaver Dam, WI 53916 Ph: (920) 885-2780 | Ms Sionag M Black, PHD 200 Front Street, Suite 3d, Beaver Dam, WI 53916 Ph: (920) 885-2780 |
Dr. Eugene P Philipp Jr., PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Front Street, Suite 3d, Beaver Dam, WI 53916 Phone: 920-885-2780 Fax: 920-885-2788 | |
Dr. Raymond Michael Wood, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 108 N. Lincoln Avenue, Beaver Dam, WI 53916 Phone: 920-887-8751 Fax: 920-887-3977 | |
Ann K Kolocek, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Front St, Suite 3d, Beaver Dam, WI 53916 Phone: 920-885-2780 Fax: 920-885-2788 | |
Linda Nauth, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 108 N Lincoln Ave, Beaver Dam, WI 53916 Phone: 920-887-8751 | |
Dr. Cheryl Joy Roets, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 705 S University Ave Ste 200, Beaver Dam, WI 53916 Phone: 920-887-9272 Fax: 920-885-4752 |