PLOVER PSYCHOLOGICAL CLINIC, LLC


Address: 2840 Post Rd, Plover, WI 54467-3443
Phone: 7153475570

PLOVER PSYCHOLOGICAL CLINIC, LLC (NPI# 1356489256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356489256
Entity Type Organization
Organization Name PLOVER PSYCHOLOGICAL CLINIC, LLC
Practice Address 2840 Post Rd
Plover
WI 54467-3443
Practice Telephone 7153475570
Practice Fax Number 7153475560
Mailing Telephone 7153475570
Mailing Fax Number 7153475560
Enumeration Date 2007-02-02
Last Update Date 2020-08-22
Authorized Official Name SHARON M PALLEN (EXECUTIVE MANAGER)
Authorized Official Telephone 7153475570
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 42243400 05

Office Location

Street Address 2840 POST RD
City PLOVER
State WI
Zip Code 54467-3443

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932257185 Kathleen E Ross Social Worker 2840 Post Rd, Plover, WI 54467-3443 2007-01-06
1669662904 Margaret E Bach Social Worker 2840 Post Rd, Plover, WI 54467-3443 2007-08-01

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NPI Name Taxonomy Address Enumeration
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1861813297 Lynn Kuklinski Assisted Living Facility 1592 Okray Ave., Plover, WI 54467 2014-01-03
1700131893 Alyssa Marie Lenze Registered Nurse 711 Eighth St, Plover, WI 54467 2012-07-16
1508031063 Carolyn Klein Speech-Language Pathologist 4880 River Drive, Plover, WI 54467 2008-04-25
1154595841 Lotus Healing Arts LLC Chiropractor 2610 Post Road, Plover, WI 54467 2008-04-15
1699969022 C. Thomas Deroche, Dpm, LLC Podiatrist 2020 County Rd Hh, Plover, WI 54467 2007-08-29
1174688683 Anegundi K Nagendra Urology 2080 Windsor Court # 3, Plover, WI 54467 2006-12-26
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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043649924 Harrigan Development Services Psychologist 1001 West Glen Oaks Lane, Suite 245, Mequon, WI 53092-9999 2013-11-01
1285726661 Holistic Wellness Center LLC Psychologist 675 N Brookfield Rd, Suite 101, Brookfield, WI 53045-5858 2006-09-29
1104855279 Associated Counseling Services, Inc. Psychologist 614 N 3rd Ave, Suite A, Wausau, WI 54401-2913 2006-07-01
1134532013 Ruth A Kohnke Psychologist 6754 W Beloit Rd, West Allis, WI 53219-2068 2014-06-09
1720387095 Compass Counseling Wausau, LLC Psychologist 1202 Callon St, Wausau, WI 54401-4231 2011-03-25
1104046168 Susan C Endes Psychologist 2020 W Wells St, Milwaukee, WI 53233 2007-05-01
1720126444 Lawrence F Uglow Psychologist 10500 N Port Washington Rd, Mequon, WI 53092-5585 2007-02-02
1144368861 Anthony Gayfield Psychologist 10500 N Port Washington Rd, Mequon, WI 53092-5585 2007-02-02
1245386739 Thomas Troast Psychologist 6110 N Port Washington Rd, Glendale, WI 53217-4308 2007-01-26
1588710073 Shore Counseling and Consulting Clinic, S.c. Psychologist 2600 N Mayfair Rd, Suite 650, Milwaukee, WI 53226-1309 2007-01-26
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Competitor

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City PLOVER
Zip Code 54467

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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