institution
Life-span Psychological Services, Llc
Professional Counselor in Brookfield, Wisconsin
NPI 1366615205

Life-span Psychological Services, Llc is a Professional Counselor based in Brookfield, WI and is specialized in Professional. Life-span Psychological Services, Llc practices in Brookfield, WI. The NPI Number for Life-span Psychological Services, Llc is 1366615205 and holds a License No. 3073-125 (Wisconsin).

The current practice location address for Life-span Psychological Services, Llc is 13035 W Bluemound Rd Ste 100, Brookfield, WI and can be reached out via phone at 262-784-1121 and via fax at 262-784-9777.

Location: 13035 W Bluemound Rd Ste 100, Brookfield, WI, 53005-8001
institution
Provider Profile Details
NPI Number
1366615205
Provider Name
Life-span Psychological Services, Llc
Credential
Provider Entity Type
Organization
Address
13035 W Bluemound Rd Ste 100, Brookfield, WI, 53005-8001
Phone Number
262-784-1121
Fax Number
262-784-9777
Provider Enumeration Date
04/11/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
43571100 05 WI
institution
Provider Business Practice Location Address Details
Address
13035 W Bluemound Rd Ste 100
City
State
Zip
53005-8001
Phone Number
262-784-1121
Fax Number
262-784-9777
person
Provider Business Mailing Address Details
Address
13035 W Bluemound Rd Ste 100
City
State
Zip
53005-8001
Phone Number
262-784-1121
Fax Number
262-784-9777
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3073-125 (Wisconsin)
Definition
Definition to come...
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