| Mia S Marquis, LMFT | |
|
1810 Golden Oak Ln, Madison, WI 53711-3311 | |
| (608) 471-8570 | |
| Not Available |
| Full Name | Mia S Marquis |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1810 Golden Oak Ln, Madison, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831105410 | NPI | - | NPPES |
| 3374-26 | Other | WI | OT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2144-124 (Wisconsin) | Primary |
| 225X00000X | Occupational Therapist | 3374-26 (Wisconsin) | Secondary |
| Entity Name | University Of Wisconsin Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Mia S Marquis, LMFT 1810 Golden Oak Ln, Madison, WI 53711-3311 Ph: () - | Mia S Marquis, LMFT 1810 Golden Oak Ln, Madison, WI 53711-3311 Ph: (608) 471-8570 |
Mr. Alexander Conrad Einsman, MS LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 406 N Pinckney St, Madison, WI 53703 Phone: 608-535-9285 | |
Diana Marie Ziegler, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6014 Hammersley Rd, Madison, WI 53711 Phone: 608-228-6272 | |
Alexandra Iverson, MS MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2901 W Beltline Hwy Ste 301, Madison, WI 53713 Phone: 608-515-5549 | |
Bobbie Briggs, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 815 Forward Drive, Madison, WI 53711 Phone: 608-268-6530 Fax: 608-709-1744 | |
Ms. Cerissa Jean Wills, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 831 E Washington Ave, Madison, WI 53703 Phone: 608-255-7356 Fax: 608-255-0457 | |
Maria Liebl, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 625 W Washington Ave, Madison, WI 53703 Phone: 608-280-2700 | |
Lisa D. Yee, MS MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6502 Grand Teton Plz Ste 204, Madison, WI 53719 Phone: 608-338-1786 |