| Psychological Health Services Llc | |
|
19435 W Capitol Drive Suite L03 Brookfield WI 53045-2738 | |
| (262) 646-6280 | |
| (262) 646-6284 |
| Full Name | Psychological Health Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 19435 W Capitol Drive, Brookfield, Wisconsin |
| Authorized Official Name and Position | Jennifer A Heinemann (OWNER) |
| Authorized Official Contact | 2626466280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Health Services Llc Po Box 180680 Delafield WI 53018-0680 Ph: () - | Psychological Health Services Llc 19435 W Capitol Drive Suite L03 Brookfield WI 53045-2738 Ph: (262) 646-6280 |
| NPI Number | 1417983917 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 11/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417983917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2333-057 (Wisconsin) | Primary |
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