| Melissa Olsen, MFT-IT | |
|
165 W Netherwood St Ste A, Oregon, WI 53575-1107 | |
| (608) 835-5050 | |
| (608) 835-5050 |
| Full Name | Melissa Olsen |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 165 W Netherwood St Ste A, Oregon, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922512334 | NPI | - | NPPES |
| 582-228 | Other | WI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 582-228 (Wisconsin) | Primary |
| Entity Name | Psychotherapy Center Of Waunakee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578196168 PECOS PAC ID: 4284054347 Enrollment ID: O20201012002577 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Olsen, MFT-IT 165 W Netherwood St Ste A, Oregon, WI 53575-1107 Ph: (608) 835-5050 | Melissa Olsen, MFT-IT 165 W Netherwood St Ste A, Oregon, WI 53575-1107 Ph: (608) 835-5050 |
Theresa Tolan, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 602 Pleasant Oak Dr, Oregon, WI 53575 Phone: 608-835-5050 Fax: 608-835-5010 | |
Oleg Yurievich Timokhin, MFT-IT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 165 W Netherwood St, Oregon, WI 53575 Phone: 608-835-5050 Fax: 608-835-5010 | |
Megan C Thomas, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 165 W Netherwood St Ste A, Oregon, WI 53575 Phone: 608-835-5050 Fax: 608-835-5010 | |
Mrs. Cara Ann Scanlan, MS MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 602 Pleasant Oak Dr, Oregon, WI 53575 Phone: 608-835-5050 | |
Kimberly Hoover, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 165 W Netherwood St, Oregon, WI 53575 Phone: 608-835-5050 | |
Mr. Kevin Michael Yanke, MSMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 602 Pleasant Oak Dr, Oregon, WI 53575 Phone: 608-835-5050 Fax: 608-835-5010 |