| Sebastian Family Psycholgy Practice | |
|
1720 W Florist Ave Ste 125 Glendale WI 53209-3862 | |
| (414) 247-0801 | |
| (414) 247-0816 |
| Full Name | Sebastian Family Psycholgy Practice |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1720 W Florist Ave Ste 125, Glendale, Wisconsin |
| Authorized Official Name and Position | Yvonne Ssempijja (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4142470801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sebastian Family Psycholgy Practice 1720 W Florist Ave Ste 125 Glendale WI 53209-3862 Ph: (414) 247-0801 | Sebastian Family Psycholgy Practice 1720 W Florist Ave Ste 125 Glendale WI 53209-3862 Ph: (414) 247-0801 |
| NPI Number | 1316360092 |
|---|---|
| Provider Enumeration Date | 01/30/2014 |
| Last Update Date | 01/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316360092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1914-226 (Wisconsin) | Primary |
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