| Blue Feather Psychotherapy, Llc | |
|
2713 Atwood Ave Apt 201 Madison WI 53704-5744 | |
| (608) 279-4278 | |
| Not Available |
| Full Name | Blue Feather Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2713 Atwood Ave Apt 201, Madison, Wisconsin |
| Authorized Official Name and Position | Kathryn A Ripp (SOLE PROPRIETOR) |
| Authorized Official Contact | 6082794278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Feather Psychotherapy, Llc 2713 Atwood Ave Apt 201 Madison WI 53704-5744 Ph: () - | Blue Feather Psychotherapy, Llc 2713 Atwood Ave Apt 201 Madison WI 53704-5744 Ph: (608) 279-4278 |
| NPI Number | 1285134262 |
|---|---|
| Provider Enumeration Date | 02/16/2018 |
| Last Update Date | 02/16/2018 |
| Medicare PECOS PAC ID | 7416218029 |
|---|---|
| Medicare Enrollment ID | O20180222001536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285134262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2554-123 (Wisconsin) | Primary |
| Provider Name | Kathryn A Ripp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417076746 PECOS PAC ID: 1254468275 Enrollment ID: I20100423000385 |
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