| Lifespan Psychotherapy | |
|
510 Hartbrook Dr Ste 204b Hartland WI 53029-1440 | |
| (126) 236-1427 | |
| (262) 313-0038 |
| Full Name | Lifespan Psychotherapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 510 Hartbrook Dr Ste 204b, Hartland, Wisconsin |
| Authorized Official Name and Position | Chris A Drosdick (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2623614275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Psychotherapy 510 Hartbrook Dr Ste 204b Hartland WI 53029-1440 Ph: (126) 236-1427 | Lifespan Psychotherapy 510 Hartbrook Dr Ste 204b Hartland WI 53029-1440 Ph: (126) 236-1427 |
| NPI Number | 1841809878 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 07/27/2020 |
| Certification Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841809878 | NPI | - | NPPES |
| 1528364825 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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