Individual
MR. CRAIG ALAN MODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD PSYCHOLOGIST
Contact information
Practice address
10229 W GREENFIELD AVE, WEST ALLIS, WI 53214
(414) 453-6330
(414) 453-6523
Mailing address
10229 W GREENFIELD AVE, WEST ALLIS, WI 53214
(414) 453-6330
(414) 453-6523
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
696057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39097200
—
WI
Enumeration date
08/30/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us