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Russell Wieston Brethauer, PSYD
Marriage & Family Therapist in Elm Grove, Wisconsin
NPI 1023062528

Russell Wieston Brethauer is a Marriage & Family Therapist based in Elm Grove, WI. Russell Wieston Brethauer practices in Elm Grove, WI and has the professional credentials of PSYD. The NPI Number for Russell Wieston Brethauer is 1023062528 and holds a License No. 983 (Wisconsin).

The current practice location address for Russell Wieston Brethauer is 700 Pilgrim Pkwy, Elm Grove, WI and can be reached out via phone at 262-785-5557 and via fax at 262-785-5586.

Location: 700 Pilgrim Pkwy, Elm Grove, WI, 53122-2063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023062528
Provider Name
Russell Wieston Brethauer
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
700 Pilgrim Pkwy, Elm Grove, WI, 53122-2063
Phone Number
262-785-5557
Fax Number
262-785-5586
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39027200 05 WI
institution
Provider Business Practice Location Address Details
Address
700 Pilgrim Pkwy
City
Elm Grove
State
Wisconsin
Zip
53122-2063
Phone Number
262-785-5557
Fax Number
262-785-5586
person
Provider Business Mailing Address Details
Address
700 Pilgrim Pkwy
City
Elm Grove
State
Wisconsin
Zip
53122-2063
Phone Number
262-785-5557
Fax Number
262-785-5586
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
185 (Wisconsin)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
983 (Wisconsin)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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