| Gary D Heath, LCSW, LMFT | |
|
12970 W Bluemound Rd, Suite 105, Elm Grove, WI 53122-2607 | |
| (262) 787-2904 | |
| (262) 787-2909 |
| Full Name | Gary D Heath |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 12970 W Bluemound Rd, Elm Grove, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104981653 | NPI | - | NPPES |
| 40955300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2027-123 (Wisconsin) | Primary |
| 106H00000X | Marriage & Family Therapist | 339-124 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary D Heath, LCSW, LMFT 62 E Rossman St, Hartford, WI 53027-1237 Ph: (262) 673-3522 | Gary D Heath, LCSW, LMFT 12970 W Bluemound Rd, Suite 105, Elm Grove, WI 53122-2607 Ph: (262) 787-2904 |
News Archive
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