| Stream And Mountain, Llc | |
|
2600 N Mayfair Rd Ste 590 Wauwatosa WI 53226-1306 | |
| (262) 894-5589 | |
| (414) 404-5882 |
| Full Name | Stream And Mountain, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2600 N Mayfair Rd Ste 590, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Tamara Fritsch (ADMINISTRATOR) |
| Authorized Official Contact | 4146986197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stream And Mountain, Llc 2600 N Mayfair Rd Ste 590 Wauwatosa WI 53226-1306 Ph: (262) 894-5589 | Stream And Mountain, Llc 2600 N Mayfair Rd Ste 590 Wauwatosa WI 53226-1306 Ph: (262) 894-5589 |
| NPI Number | 1053102368 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053102368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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