Tetzlaff & Myhre Psychotherapy And Assessments, Llc | |
N55w37178 Roland St Oconomowoc WI 53066-5321 | |
(262) 719-2975 | |
Not Available |
Full Name | Tetzlaff & Myhre Psychotherapy And Assessments, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | N55w37178 Roland St, Oconomowoc, Wisconsin |
Authorized Official Name and Position | Brandie L Tetzlaff (PSYCHOTHERAPIST/OWNER) |
Authorized Official Contact | 2627192975 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tetzlaff & Myhre Psychotherapy And Assessments, Llc N55w37178 Roland St Oconomowoc WI 53066-5321 Ph: (262) 719-2975 | Tetzlaff & Myhre Psychotherapy And Assessments, Llc N55w37178 Roland St Oconomowoc WI 53066-5321 Ph: (262) 719-2975 |
NPI Number | 1477151439 |
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Provider Enumeration Date | 10/13/2020 |
Last Update Date | 10/13/2020 |
Certification Date | 10/13/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477151439 | NPI | - | NPPES |
43743800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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