| Trueblood Psychological Services, Llc | |
|
19275 W Capitol Dr Ste 200 Brookfield WI 53045-2734 | |
| (262) 222-2882 | |
| (414) 431-6018 |
| Full Name | Trueblood Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 19275 W Capitol Dr Ste 200, Brookfield, Wisconsin |
| Authorized Official Name and Position | Sonya S Trueblood (OWNER) |
| Authorized Official Contact | 2622222882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trueblood Psychological Services, Llc Po Box 93 Hartland WI 53029-0093 Ph: (262) 222-2882 | Trueblood Psychological Services, Llc 19275 W Capitol Dr Ste 200 Brookfield WI 53045-2734 Ph: (262) 222-2882 |
| NPI Number | 1073907622 |
|---|---|
| Provider Enumeration Date | 03/22/2015 |
| Last Update Date | 08/29/2016 |
| Medicare PECOS PAC ID | 1658667522 |
|---|---|
| Medicare Enrollment ID | O20160901002540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073907622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2975-57 (Wisconsin) | Primary |
| Provider Name | Sonya S Trueblood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447456603 PECOS PAC ID: 7416037726 Enrollment ID: I20140714001257 |
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