Sarah Griebenow

Individual provider Active NPI School Psychologist · Neosho, WI

NPI 1508545229 · NPPES record last updated Jul 12, 2023

Key facts

NPI
1508545229
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
3001025110 (WI)
Practice address
W2295 Pond Rd
Neosho, WI 53059-9744
Phone
(262) 391-7482
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3001025110WIMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 3001025110 WI Yes

Addresses

Primary practice location

W2295 Pond Rd
Neosho, WI 53059-9744

Mailing address

W2295 Pond Rd
Neosho, WI 53059-9744
Phone (262) 391-7482

Other providers in Neosho, WI

All providers in Neosho, WI · School Psychologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.