Alan Sumwalt Psychotherapies Llc | |
146 Park Ave Pewaukee, Wi Pewaukee WI 53072-3410 | |
(414) 588-6452 | |
(262) 691-3005 |
Full Name | Alan Sumwalt Psychotherapies Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 146 Park Ave, Pewaukee, Wisconsin |
Authorized Official Name and Position | Alan W Sumwalt (DIRECTOR) |
Authorized Official Contact | 4145886452 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alan Sumwalt Psychotherapies Llc 146 Park Ave Pewaukee, Wi Pewaukee WI 53072-3410 Ph: (414) 588-6452 | Alan Sumwalt Psychotherapies Llc 146 Park Ave Pewaukee, Wi Pewaukee WI 53072-3410 Ph: (414) 588-6452 |
NPI Number | 1528486263 |
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Provider Enumeration Date | 03/31/2014 |
Last Update Date | 03/31/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528486263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 346-123 (Wisconsin) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | 346-123 (Wisconsin) | Secondary |
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