| Tyler Van Zeeland, LMFT-IT | |
|
2211 Oregon St Ste N, Oshkosh, WI 54902-7001 | |
| (920) 479-1996 | |
| (920) 479-1997 |
| Full Name | Tyler Van Zeeland |
|---|---|
| Gender | Male |
| Speciality | Marriage And Family Therapist |
| Experience | 3 Years |
| Location | 2211 Oregon St Ste N, Oshkosh, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053182287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 804-228 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mind Body Program Llc | 4183756877 | 3 |
| Entity Name | Mind Body Program Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205084118 PECOS PAC ID: 4183756877 Enrollment ID: O20100715000508 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Van Zeeland, LMFT-IT 2211 Oregon St Ste N, Oshkosh, WI 54902-7001 Ph: (920) 479-1996 | Tyler Van Zeeland, LMFT-IT 2211 Oregon St Ste N, Oshkosh, WI 54902-7001 Ph: (920) 479-1996 |
Purviben Kishorkumar Trivedi-ziemba, LMFT-IT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2211 Oregon St Ste N, Oshkosh, WI 54902 Phone: 920-479-1996 Fax: 920-479-1997 | |
Kylie Aine Zimmerman, LMFT-IT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2211 Oregon St Ste N, Oshkosh, WI 54902 Phone: 920-479-1996 Fax: 920-479-1997 | |
Amanda Clare Anderson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2211 Oregon St Ste N, Oshkosh, WI 54902 Phone: 920-479-1996 Fax: 920-479-1997 | |
Kelsey Link, Couples Therapy Medicare: Medicare Enrolled Practice Location: 404 N Main St Ste 612, Oshkosh, WI 54901 Phone: 920-385-1420 | |
Mrs. Blu Augusta Wilkins, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 302 State St, Suite B, Oshkosh, WI 54901 Phone: 920-230-2207 Fax: 920-230-2208 | |
Christoper Carpenter, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2211 Oregon St Ste N, Oshkosh, WI 54902 Phone: 920-479-1996 |