Mr David Charles Low, LMFT | |
1020 N 12th St, Milwaukee, WI 53233-1308 | |
(414) 773-4312 | |
Not Available |
Full Name | Mr David Charles Low |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1020 N 12th St, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265832141 | NPI | - | NPPES |
100039845 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2823125 (Wisconsin) | Secondary |
106H00000X | Marriage & Family Therapist | 1079 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
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Mr David Charles Low, LMFT Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Mr David Charles Low, LMFT 1020 N 12th St, Milwaukee, WI 53233-1308 Ph: (414) 773-4312 |
Ms. Jennifer Ann Jones, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3200 W Highland Blvd, Milwaukee, WI 53208 Phone: 414-345-4940 | |
Musserat Mirza, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1020 N 12th St Ste 200, Milwaukee, WI 53233 Phone: 414-773-4312 | |
Kevin P O'brien, LCSW, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 620 S 76th St, Milwaukee, WI 53214 Phone: 414-453-1400 Fax: 414-453-2538 | |
Ms. Eileen Mcclendon, M.S., M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3200 W Highland Blvd, Milwaukee, WI 53208 Phone: 414-342-4560 Fax: 414-345-4934 | |
Emma J Williams, LCSW, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 161 W Wisconsin Ave, Ste 5190, Milwaukee, WI 53203 Phone: 414-272-5005 Fax: 414-272-3760 | |
Ms. Coleen Haas Smith, MAPC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3200 W Highland Blvd, Milwaukee, WI 53208 Phone: 414-345-4941 Fax: 414-342-5326 | |
Tricia M Krippel, LPC, MFT-IT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 620 S 76th St, Milwaukee, WI 53214 Phone: 414-453-1400 Fax: 414-453-2538 |