| Great Lakes Mental Health Center | |
|
15910 W Company Lake Rd Hayward WI 54843-5320 | |
| (715) 790-2100 | |
| Not Available |
| Full Name | Great Lakes Mental Health Center |
|---|---|
| Speciality | Psychologist |
| Location | 15910 W Company Lake Rd, Hayward, Wisconsin |
| Authorized Official Name and Position | Damian Vraniak (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7157902100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Mental Health Center W3177 Hamilton Rd Springbrook WI 54875-9314 Ph: (715) 790-2100 | Great Lakes Mental Health Center 15910 W Company Lake Rd Hayward WI 54843-5320 Ph: (715) 790-2100 |
| NPI Number | 1609198027 |
|---|---|
| Provider Enumeration Date | 02/26/2010 |
| Last Update Date | 02/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609198027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4339125 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 885 (Wisconsin) | Primary |
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