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Contact Information

ALLIED MENTAL HEALTH SPECIALTY GROUP SC
1334 HOSFORD ST STE B
HUDSON, WI54016-9230
 Phone: 715-808-0795
 Fax: 715-808-0361
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ALLIED MENTAL HEALTH SPECIALTY GROUP SC · (Female)

NPI Number 1831315191
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2007
Last updated 05/09/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 1436-057
  • MN Medicaid 165875100
  • WI Medicaid 39087700
  • WI Medicaid 39692000
  • MN Other 87G89NE BCBS AUDREY NEVINS
  • MN Other 96G67SI BCBS IND NUM A SILER
  • MN Other 277P4NE BCBS IND PROV NUM BNEVINS
  • MN Other 110795 BNEVINS HEALTHPARTNERS GR
  • MN Other 87G99BR GROUP NUM A NEVINS
  • MN Other 96G77BR GROUP NUM ASILER
  • MN Other 276P4BR GROUP NUMBER BCBS BNEVINS
  • MN Other 1982771317 NPI IND NUM ANGELA SILER
  • MN Other 936451035211 PREFERREDONE ANEVINS PIN
  • WI Other 374826056003 BCBS ANEVINS PIN
  • WI Other 39172147012 BCBS GROUP NUMBER BEVINS
  • WI Other 471547731E03 BCBS PIN BNEVINS
  • WI Other 1710043070 NPI INDIVIDUAL ANEVINS
  • WI Other 62-70147 UBH AUDREYNEVINS
  • WI Other 61-57474 UBH BRAD NEVINS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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