Organization
MENTE SALUS PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA FRANCES ALBANESE-KOTAR PHD (SOLE MEMBER/LICENSED PSYCHOLOGIST)
(715) 839-7240
Entity
Organization
Contact information
Practice address
4319 JEFFERS RD, SUITE 101, EAU CLAIRE, WI 54703-3726
(715) 839-7240
(715) 839-7674
Mailing address
4319 JEFFERS RD, SUITE 101, EAU CLAIRE, WI 54703-3726
(715) 839-7240
(715) 839-7674
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2858-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700105855
NPI TYPE I
—
05
—
1700105855
—
WI
Enumeration date
02/28/2013
Last updated
02/28/2013
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