| Ms Meredith Sullivan, MS, MA | |
|
2901 Hunters Trl, Portage, WI 53901-3403 | |
| (608) 742-5518 | |
| (608) 742-4087 |
| Full Name | Ms Meredith Sullivan |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2901 Hunters Trl, Portage, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376944504 | NPI | - | NPPES |
| 1376944504 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 327-228 (Wisconsin) | Secondary |
| 106H00000X | Marriage & Family Therapist | 1047 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Meredith Sullivan, MS, MA 2901 Hunters Trl, Portage, WI 53901-3403 Ph: (608) 742-5518 | Ms Meredith Sullivan, MS, MA 2901 Hunters Trl, Portage, WI 53901-3403 Ph: (608) 742-5518 |
Jennifer R Gruba, PHD Couples Therapy Medicare: Medicare Enrolled Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087 | |
Ms. Rebecca Anna Kaiser, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 317 De Witt St, Portage, WI 53901 Phone: 608-566-3812 Fax: 608-745-1757 | |
Kathleen Cook, Couples Therapy Medicare: Medicare Enrolled Practice Location: 2639 New Pinery Rd Ste 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-3641 | |
Erin Shawnna Grimm, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 317 Dewitt St, Portage, WI 53901 Phone: 608-745-1751 Fax: 608-745-1757 |