Kristie A Ineichen, PSYDLP
Kristie A Ineichen, PSYDLP is a Clinical Psychologist in Ellsworth, Wisconsin. Qualified in 2012, 14 years ago. Practices with Talkspace Provider Network PA, a 256-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.
- Years since qualifying
- 14
- Licensed in
- MN, WI
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
N5683 530th StEllsworth, WI 54011-5111
Phone: (763) 257-4655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 4031-57 (WI) |
|---|---|
| Clinical Psychologist | Taxonomy 103TC0700X · Licence LP5823 (MN) |
Record details
| NPI number | 1871997544 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PSYDLP |
| Sole proprietor | No |
| NPI enumerated | October 9, 2014 |
| Last updated in NPPES | May 1, 2024 |
| Certification date | May 1, 2024 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Talkspace Provider Network Pa — 256 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |