| American Telepsychiatry, Inc. | |
|
5408 W Burleigh St Milwaukee WI 53210-1624 | |
| (414) 376-5577 | |
| (414) 446-3803 |
| Full Name | American Telepsychiatry, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 5408 W Burleigh St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Darren Matavka (VICE PRESIDENT) |
| Authorized Official Contact | 4143765577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Telepsychiatry, Inc. 4650 S Howell Ave Milwaukee WI 53207-5906 Ph: (414) 376-5577 | American Telepsychiatry, Inc. 5408 W Burleigh St Milwaukee WI 53210-1624 Ph: (414) 376-5577 |
| NPI Number | 1285018630 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 07/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285018630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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