Mr Myron Irving Hustad, MSW LCSW ACSW AAMFT is a
Marriage & Family Therapist based in Milwaukee, Wisconsin. Mr Myron Irving Hustad is licensed to practice in Wisconsin (license number 241124) and his current practice location is
5000 West National Avenue, Milwaukee, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 384-2000.
NPI number for Mr Myron Irving Hustad is 1629159355 and his current mailing address is 8705 Glencoe Circle, Wauwatosa, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629159355.
Healthcare Provider's Profile
Full Name | Mr Myron Irving Hustad |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 5000 West National Avenue, Milwaukee, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629159355
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Myron Irving Hustad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629159355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2246123 (Wisconsin) | Primary |
106H00000X | Marriage & Family Therapist | 241124 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Myron Irving Hustad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Myron Irving Hustad, MSW LCSW ACSW AAMFT 8705 Glencoe Circle, Wauwatosa, WI 53226 Ph: (414) 774-6158 | Mr Myron Irving Hustad, MSW LCSW ACSW AAMFT 5000 West National Avenue, Milwaukee, WI 53295 Ph: (414) 384-2000 |
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