| Lifespan Psychological Health Cooperative | |
|
13035 W Bluemound Rd Ste 100 Brookfield WI 53005-8001 | |
| (262) 784-1121 | |
| (262) 784-9777 |
| Full Name | Lifespan Psychological Health Cooperative |
|---|---|
| Speciality | Psychologist |
| Location | 13035 W Bluemound Rd Ste 100, Brookfield, Wisconsin |
| Authorized Official Name and Position | Sarah Larson (OFFICE ADMINISTRATION) |
| Authorized Official Contact | 2622233082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Psychological Health Cooperative 13035 W Bluemound Rd Ste 100 Brookfield WI 53005-8001 Ph: (262) 784-1121 | Lifespan Psychological Health Cooperative 13035 W Bluemound Rd Ste 100 Brookfield WI 53005-8001 Ph: (262) 784-1121 |
| NPI Number | 1396491403 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396491403 | NPI | - | NPPES |
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