| New Life Resources, Inc. | |
|
20700 Watertown Rd Suite 102 Waukesha WI 53186-1800 | |
| (262) 782-1474 | |
| (262) 782-1441 |
| Full Name | New Life Resources, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 20700 Watertown Rd, Waukesha, Wisconsin |
| Authorized Official Name and Position | David L. Hubbard (DIRECTOR) |
| Authorized Official Contact | 2627821474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Resources, Inc. 20700 Watertown Rd Suite 102 Waukesha WI 53186-1800 Ph: (262) 782-1474 | New Life Resources, Inc. 20700 Watertown Rd Suite 102 Waukesha WI 53186-1800 Ph: (262) 782-1474 |
| NPI Number | 1225061997 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4284640830 |
|---|---|
| Medicare Enrollment ID | O20060306000740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225061997 | NPI | - | NPPES |
| Provider Name | Daniel R Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205944147 PECOS PAC ID: 9830106095 Enrollment ID: I20060313000466 |
| Provider Name | Terence J Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942317714 PECOS PAC ID: 9032210448 Enrollment ID: I20070728000054 |
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