| Alan Sumwalt Psychotherapies Llc | |
|
146 Park Ave Pewaukee, Wi Pewaukee WI 53072-3410 | |
| (414) 588-6452 | |
| (262) 691-3005 |
| Full Name | Alan Sumwalt Psychotherapies Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 146 Park Ave, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Alan W Sumwalt (DIRECTOR) |
| Authorized Official Contact | 4145886452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Sumwalt Psychotherapies Llc 146 Park Ave Pewaukee, Wi Pewaukee WI 53072-3410 Ph: (414) 588-6452 | Alan Sumwalt Psychotherapies Llc 146 Park Ave Pewaukee, Wi Pewaukee WI 53072-3410 Ph: (414) 588-6452 |
| NPI Number | 1528486263 |
|---|---|
| Provider Enumeration Date | 03/31/2014 |
| Last Update Date | 03/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528486263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 346-123 (Wisconsin) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | 346-123 (Wisconsin) | Secondary |
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