Brooke S Siddell, | |
3800 N Mayfair Rd, Wauwatosa, WI 53222-2213 | |
(414) 536-8333 | |
(414) 536-8348 |
Full Name | Brooke S Siddell |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 3800 N Mayfair Rd, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225282874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 857124 (Wisconsin) | Primary |
Entity Name | Lutheran Counseling And Family Services Of Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184703290 PECOS PAC ID: 4587565742 Enrollment ID: O20040120000343 |
Mailing Address | Practice Location Address |
---|---|
Brooke S Siddell, 3800 N Mayfair Rd, Wauwatosa, WI 53222-2213 Ph: (608) 512-7668 | Brooke S Siddell, 3800 N Mayfair Rd, Wauwatosa, WI 53222-2213 Ph: (414) 536-8333 |
Mrs. Caroline Burnett, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8651 W North Ave, Wauwatosa, WI 53226 Phone: 414-774-9200 | |
Ms. Rachael Goldmann, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-773-4312 | |
Mrs. Lindsay Nicole Price, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2600 N Mayfair Rd Ste 650, Wauwatosa, WI 53226 Phone: 414-771-9304 | |
Larry E Mc Dowell, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1220 Dewey Ave, Dewey Center, Wauwatosa, WI 53213 Phone: 414-454-6707 Fax: 414-454-6747 | |
Neaokia Collins, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10045 W Lisbon Ave, Wauwatosa, WI 53222 Phone: 414-358-7999 | |
Kathleen Janousky, QTT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3800 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-536-8333 |