| Mid Wisconsin Psychotherapy Associates | |
|
100 Bremmer St Stevens Point WI 54481-6032 | |
| (715) 344-2016 | |
| (715) 344-1715 |
| Full Name | Mid Wisconsin Psychotherapy Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 100 Bremmer St, Stevens Point, Wisconsin |
| Authorized Official Name and Position | Richard W. Hurlbut (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7153442016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Wisconsin Psychotherapy Associates 100 Bremmer St Stevens Point WI 54481-6032 Ph: (715) 344-2016 | Mid Wisconsin Psychotherapy Associates 100 Bremmer St Stevens Point WI 54481-6032 Ph: (715) 344-2016 |
| NPI Number | 1487691341 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 08/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487691341 | NPI | - | NPPES |
| 39024400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 881 (Wisconsin) | Primary |
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