| Milestones Behavioral Pediatrics Inc | |
|
2073 Lawrence Dr De Pere WI 54115-9106 | |
| (920) 351-3027 | |
| (920) 351-3043 |
| Full Name | Milestones Behavioral Pediatrics Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2073 Lawrence Dr, De Pere, Wisconsin |
| Authorized Official Name and Position | Kirsten Lynne Masrelian (OWNER) |
| Authorized Official Contact | 9207375325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestones Behavioral Pediatrics Inc 2073 Lawrence Dr De Pere WI 54115-9106 Ph: (920) 351-3027 | Milestones Behavioral Pediatrics Inc 2073 Lawrence Dr De Pere WI 54115-9106 Ph: (920) 351-3027 |
| NPI Number | 1649759705 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 08/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649759705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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