| Neurodiversity & Disability Affirming Therapy Ltd. | |
|
541 S Randall Ave Madison WI 53715 | |
| (262) 427-8420 | |
| Not Available |
| Full Name | Neurodiversity & Disability Affirming Therapy Ltd. |
|---|---|
| Speciality | Psychologist |
| Location | 541 S Randall Ave, Madison, Wisconsin |
| Authorized Official Name and Position | Jessica Marie Brooks (OWNER, PSYCHOLOGIST) |
| Authorized Official Contact | 6089631380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodiversity & Disability Affirming Therapy Ltd. 541 S Randall Ave Madison WI 53715-1653 Ph: () - | Neurodiversity & Disability Affirming Therapy Ltd. 541 S Randall Ave Madison WI 53715 Ph: (262) 427-8420 |
| NPI Number | 1194587923 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194587923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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