| Integrative Psychological Consultants, Llc | |
|
2317 International Ln Ste 119 Madison WI 53704-3154 | |
| (608) 467-8870 | |
| (608) 467-6735 |
| Full Name | Integrative Psychological Consultants, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2317 International Ln Ste 119, Madison, Wisconsin |
| Authorized Official Name and Position | Lesley Baird Chapin (OWNER) |
| Authorized Official Contact | 6083029752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychological Consultants, Llc 2317 International Ln Ste 119 Madison WI 53704-3154 Ph: (608) 467-8870 | Integrative Psychological Consultants, Llc 2317 International Ln Ste 119 Madison WI 53704-3154 Ph: (608) 467-8870 |
| NPI Number | 1740794627 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 11/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740794627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3043-57 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 8396 (Wisconsin) | Secondary |
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