Organization
BARABOO PSYCHOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH JEAN MARTIN MS, LPC (THERAPIST)
(608) 356-9066
Entity
Organization
Contact information
Practice address
227 5TH AVE, BARABOO, WI 53913-2116
(608) 356-9066
(608) 356-9470
Mailing address
227 5TH AVE, BARABOO, WI 53913-2116
(608) 356-9066
(608) 356-9470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
396-44-800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42213700
—
WI
Enumeration date
04/18/2007
Last updated
08/22/2020
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