| Mrs Ingrid Wallace, LPC, CRC | |
|
2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1403 | |
| (414) 476-8183 | |
| (414) 476-8465 |
| Full Name | Mrs Ingrid Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2525 N Mayfair Rd, Wauwatosa, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497866370 | NPI | - | NPPES |
| 21280000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3065-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ingrid Wallace, LPC, CRC 2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1403 Ph: (414) 476-8183 | Mrs Ingrid Wallace, LPC, CRC 2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1403 Ph: (414) 476-8183 |
Dr. Tiffany Marie Prather, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10045 W Lisbon Ave, Wauwatosa, WI 53222 Phone: 414-358-7999 Fax: 414-358-7158 | |
Angela Byers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2300 N Mayfair Rd, Ste 425, Wauwatosa, WI 53226 Phone: 414-727-4455 | |
Sarah Schelble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7954 Harwood Ave Ste 40, Wauwatosa, WI 53213 Phone: 414-573-6891 | |
Lindsay Maruszewski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10425 W North Ave Ste 236, Wauwatosa, WI 53226 Phone: 414-509-0029 Fax: 414-296-8859 | |
Julia Kristin Crivello, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 N Mayfair Rd Ste 120, Wauwatosa, WI 53226 Phone: 414-939-9390 Fax: 414-939-9383 | |
Michael Richard Kiel, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3636 N 124th St Ste 300, Wauwatosa, WI 53222 Phone: 414-476-9755 | |
Daina L Westerman, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6539 Fax: 414-454-6688 |