| Sebastian Family Psychology Practice, Llc | |
|
6025 N Green Bay Ave Glendale WI 53209-3811 | |
| (414) 247-0801 | |
| (414) 247-0816 |
| Full Name | Sebastian Family Psychology Practice, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6025 N Green Bay Ave, Glendale, Wisconsin |
| Authorized Official Name and Position | Sebastian L Ssempijja (CLINIC DIRECTOR) |
| Authorized Official Contact | 4149152967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sebastian Family Psychology Practice, Llc 6025 N Green Bay Ave Glendale WI 53209-3811 Ph: (414) 247-0801 | Sebastian Family Psychology Practice, Llc 6025 N Green Bay Ave Glendale WI 53209-3811 Ph: (414) 247-0801 |
| NPI Number | 1619011046 |
|---|---|
| Provider Enumeration Date | 02/18/2007 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619011046 | NPI | - | NPPES |
| 42236700 | Medicaid | WI |
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