| Third Wave Psychotherapy & Assessment, Llc | |
|
2180 S 87th St West Allis WI 53227-1720 | |
| (414) 215-0017 | |
| Not Available |
| Full Name | Third Wave Psychotherapy & Assessment, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2180 S 87th St, West Allis, Wisconsin |
| Authorized Official Name and Position | Kristen Payne (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 4142150017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Wave Psychotherapy & Assessment, Llc 2180 S 87th St West Allis WI 53227-1720 Ph: () - | Third Wave Psychotherapy & Assessment, Llc 2180 S 87th St West Allis WI 53227-1720 Ph: (414) 215-0017 |
| NPI Number | 1295556975 |
|---|---|
| Provider Enumeration Date | 10/24/2024 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295556975 | NPI | - | NPPES |
| 1427492347 | Other | WI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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