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NPI Code Detail

MEDICARE: JANICE SINGLES, PSYD, LLC

MEDICARE: JANICE SINGLES, PSYD, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency1791-057WI

General Provider Information

NPI Number : 1033305081
Entity Type Code : Organization
Provider Name (Legal Business Name) : JANICE SINGLES, PSYD, LLC
Provider Business Mailing Address
First Line : 6402 ODANA RD
Second Line : BIRCH SPRINGS
City : MADISON
State : WI
Zip : 53719-1123
Country : US
Telephone Number : 608-273-4411
Fax Number :
Provider Business Practice Location Address
First Line : 6402 ODANA RD
Second Line : BIRCH SPRINGS
City : MADISON
State : WI
Zip : 53719-1123
Country : US
Telephone Number : 608-273-4411
Fax Number :
Authorized Official
Title or Position : LICENSED PSYCHOLOGIST
Name : DR. JANICE MARIE SINGLES
Credential : PSY.D.
Telephone Number : 608-273-4411
Provider Enumeration Date : 09/23/2007
Last Update Date : 09/23/2007

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