| A Healing Center | |
|
20860 Watertown Rd Waukesha WI 53186-1872 | |
| (262) 821-6117 | |
| (262) 821-6119 |
| Full Name | A Healing Center |
|---|---|
| Speciality | Psychologist |
| Location | 20860 Watertown Rd, Waukesha, Wisconsin |
| Authorized Official Name and Position | Jo Ann Mary Cooper (PSYCHOLOGIST) |
| Authorized Official Contact | 2628216117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Healing Center 20860 Watertown Road Waukesha WI 53186-1872 Ph: (262) 821-6117 | A Healing Center 20860 Watertown Rd Waukesha WI 53186-1872 Ph: (262) 821-6117 |
| NPI Number | 1316023377 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316023377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1001 (Wisconsin) | Primary |
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