| Tetzlaff & Myhre Psychotherapy And Assessments, Llc | |
|
890 Elm Grove Rd Ste 203 Elm Grove WI 53122-2528 | |
| (262) 719-2975 | |
| Not Available |
| Full Name | Tetzlaff & Myhre Psychotherapy And Assessments, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 890 Elm Grove Rd Ste 203, Elm Grove, Wisconsin |
| Authorized Official Name and Position | Brandie L Tetzlaff (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 2627192975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tetzlaff & Myhre Psychotherapy And Assessments, Llc 890 Elm Grove Rd Ste 203 Elm Grove WI 53122-2528 Ph: (262) 719-2975 | Tetzlaff & Myhre Psychotherapy And Assessments, Llc 890 Elm Grove Rd Ste 203 Elm Grove WI 53122-2528 Ph: (262) 719-2975 |
| NPI Number | 1477151439 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477151439 | NPI | - | NPPES |
| 43743800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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