| The Emdr Center For Relationships & Healing, Llc | |
|
2916 Marketplace Drive Suite # 212 Fitchburg WI 53719-5327 | |
| (608) 325-9500 | |
| (888) 345-6310 |
| Full Name | The Emdr Center For Relationships & Healing, Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 2916 Marketplace Drive, Fitchburg, Wisconsin |
| Authorized Official Name and Position | Kevin L Allemagne (OWNER) |
| Authorized Official Contact | 6083259500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Emdr Center For Relationships & Healing, Llc 2916 Marketplace Drive Suite # 212 Fitchburg WI 53719-5327 Ph: (608) 325-9500 | The Emdr Center For Relationships & Healing, Llc 2916 Marketplace Drive Suite # 212 Fitchburg WI 53719-5327 Ph: (608) 325-9500 |
| NPI Number | 1033440227 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033440227 | NPI | - | NPPES |
| 761124 | Other | WI | WISCONSIN LICENSE |
| 166000551 | Other | IL | IL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 761124 (Wisconsin) | Primary |
| 103TC1900X | Psychologist - Counseling | 166000551 (Illinois) | Secondary |
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