| Cornerstone Mental Health Associates | |
|
6417 Odana Rd #c Madison WI 53719 | |
| (608) 271-9986 | |
| (608) 271-9988 |
| Full Name | Cornerstone Mental Health Associates |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6417 Odana Rd, Madison, Wisconsin |
| Authorized Official Name and Position | David L. Eastin (CO-OWNER/PARTNER) |
| Authorized Official Contact | 6082719986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Mental Health Associates 6417 Odana Rd #c Madison WI 53719 Ph: (608) 271-9986 | Cornerstone Mental Health Associates 6417 Odana Rd #c Madison WI 53719 Ph: (608) 271-9986 |
| NPI Number | 1932434420 |
|---|---|
| Provider Enumeration Date | 10/16/2009 |
| Last Update Date | 10/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932434420 | NPI | - | NPPES |
| 39210200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1477 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1780-123 (Wisconsin) | Primary |
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