Danielle Shallcross (NPI# 1225209448, PAC ID# 1850607938) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1225209448 |
| PAC ID by PECOS | 1850607938 |
| Professional Enrollment ID | I20150903002287 |
| Full Name | Danielle Shallcross |
| Organization Legal Name | NORTHERN WISCONSIN GERIATRIC PSYCHOLOGICAL SERVICES, SC |
| Address |
131 E N Water St Neenah WI 54956-5222 |
| Phone Number | 9207257110 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 3971820838 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 131 E N Water St, Neenah, WI 54956-5222 | 9207257110 | NORTHERN WISCONSIN GERIATRIC PSYCHOLOGICAL SERVICES, SC |
| 631 Hazel St, Oshkosh, WI 54901-4600 | 9202336607 | NORTHERN WISCONSIN GERIATRIC PSYCHOLOGICAL SERVICES, SC |
| Organization Legal Name | NORTHERN WISCONSIN GERIATRIC PSYCHOLOGICAL SERVICES, SC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda J Vanwyk | Clinical Social Worker | Northern Wisconsin Geriatric Psychological Services, Sc | 631 Hazel St, Oshkosh, WI 54901-4600 |
| Marilyn R Dean | Clinical Psychologist | Northern Wisconsin Geriatric Psychological Services, Sc | 631 Hazel St, Oshkosh, WI 54901-4600 |
| Street Address |
131 E N WATER ST |
| City | NEENAH |
| State | WI |
| Zip | 54956-5222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gizell R Larson | Neurology | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Brianne M Wienkers | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Jill M Hietpas | Physician Assistant | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Tait D Fors | Urology | Wisconsin Institute of Urology Sc | 1265 W American Dr, Suite 100, Neenah, WI 54956-1405 |
| Brian T Bolinger | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 740 Deerwood Ave, Neenah, WI 54956-1601 |
| Curtis C Baltz | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Megan J Kane | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Richard D Klamm | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Jennifer A Norden | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Venkata S Udayagiri | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Find all physicians in zip 54956 | |||
| City | NEENAH |
| Zip Code | 54956 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | NEENAH + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Danielle Shallcross.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.