| Wyatt Urlacher Psychotherapy | |
|
101 W Birchwood Dr Brandon SD 57005-2107 | |
| (605) 519-3588 | |
| Not Available |
| Full Name | Wyatt Urlacher Psychotherapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 101 W Birchwood Dr, Brandon, South Dakota |
| Authorized Official Name and Position | Wyatt Urlacher (OWNER) |
| Authorized Official Contact | 6055193588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyatt Urlacher Psychotherapy 101 W Birchwood Dr Brandon SD 57005-2107 Ph: (605) 519-3588 | Wyatt Urlacher Psychotherapy 101 W Birchwood Dr Brandon SD 57005-2107 Ph: (605) 519-3588 |
| NPI Number | 1740008184 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740008184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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