| Mind-body Program | |
|
10855 W Potter Rd Wauwatosa WI 53226-3439 | |
| (414) 407-6664 | |
| (414) 302-1330 |
| Full Name | Mind-body Program |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10855 W Potter Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Lauri Christine Gebhard (PSYCHOLOGIST, DIRECTOR) |
| Authorized Official Contact | 4144076664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind-body Program 10855 W Potter Rd Wauwatosa WI 53226-3439 Ph: (414) 407-6664 | Mind-body Program 10855 W Potter Rd Wauwatosa WI 53226-3439 Ph: (414) 407-6664 |
| NPI Number | 1104012244 |
|---|---|
| Provider Enumeration Date | 09/22/2007 |
| Last Update Date | 09/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104012244 | NPI | - | NPPES |
| 39121000 | Medicaid | WI |
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