Organization
KING PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA L. KING PH.D. (PSYCHOLOGIST/OWNER)
(715) 524-5355
Entity
Organization
Contact information
Practice address
1488 E GREEN BAY ST, SHAWANO, WI 54166-2258
(715) 524-5355
Mailing address
125 N ANDREWS ST, SHAWANO, WI 54166-2441
(715) 524-5355
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1466-057
WI
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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