SEBASTIAN FAMILY PSYCHOLGY PRACTICE NPI 1316360092

NPI Information

NPI: 1316360092
Provider Name: SEBASTIAN FAMILY PSYCHOLGY PRACTICE
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1720 W FLORIST AVE STE 125
GLENDALE, WI
ZIP 53209
Phone: (414) 247-0801
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SEBASTIAN FAMILY PSYCHOLGY PRACTICE is a mental health counselor in Glendale, WI. SEBASTIAN FAMILY PSYCHOLGY PRACTICE NPI is 1316360092. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1720 W FLORIST AVE STE 125
GLENDALE, WI
ZIP 53209-862
Phone: (414) 247-0801
Fax: (414) 247-0816

The provider's authorized official is Yvonne Ssempijja .
The authorized official title is Director Of Operations and has the following contact phone number (414) 247-0801.

The enumeration date for this NPI number is 1/30/2014 and was last updated on 1/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	1914-226	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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