| Dr Charles Mathew Lodl, PHD | |
|
11501 N Port Washington Rd, Suite 210, Mequon, WI 53092-3466 | |
| (262) 241-8901 | |
| (262) 241-8907 |
| Full Name | Dr Charles Mathew Lodl |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 11501 N Port Washington Rd, Mequon, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033132899 | NPI | - | NPPES |
| 39050600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 857-057 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Mathew Lodl, PHD 11501 N Port Washington Rd, Suite 210, Mequon, WI 53092-3466 Ph: (262) 241-8901 | Dr Charles Mathew Lodl, PHD 11501 N Port Washington Rd, Suite 210, Mequon, WI 53092-3466 Ph: (262) 241-8901 |
Dr. Amardeep Khahra, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1017 W Glen Oaks Ln Ste 171, Mequon, WI 53092 Phone: 262-236-9588 | |
Dr. Cara Christina Raymond, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1035 W Glen Oaks Ln, Suite 204, Mequon, WI 53092 Phone: 847-321-5731 | |
Judy A Walz, RN Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10500 North Port Washington Road, Mequon, WI 53092 Phone: 262-240-0427 Fax: 262-240-0429 | |
Dr. Michael Mazius, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 10303 N Port Washington Rd, #203, Mequon, WI 53092 Phone: 262-241-5955 Fax: 262-241-5926 | |
Mr. Stephen Andrew Gilbertson, LIC PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd, Suite 218, Mequon, WI 53092 Phone: 262-240-9620 | |
Dr. Nicole L Bickham, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1035 W Glen Oaks Ln Ste 204, Mequon, WI 53092 Phone: 414-858-8085 |