Autism And Behavior Center Inc | |
919 S. Hillcrest Pkwy Altoona WI 54720-2775 | |
(715) 598-7121 | |
(715) 598-7123 |
Full Name | Autism And Behavior Center Inc |
---|---|
Speciality | Psychologist - Clinical |
Location | 919 S. Hillcrest Pkwy, Altoona, Wisconsin |
Authorized Official Name and Position | Kristin M Wegner (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7155987121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Autism And Behavior Center Inc 919 S. Hillcrest Pkwy Altoona WI 54720-2775 Ph: (715) 598-7121 | Autism And Behavior Center Inc 919 S. Hillcrest Pkwy Altoona WI 54720-2775 Ph: (715) 598-7121 |
NPI Number | 1952423337 |
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Provider Enumeration Date | 04/04/2007 |
Last Update Date | 11/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952423337 | NPI | - | NPPES |
40984200 | Medicaid | WI | |
42250800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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