SAMUEL LUSTGARTEN PHD LLC is a mental health (including community mental health center) clinic center in Madison, WI. SAMUEL LUSTGARTEN PHD LLC NPI is 1427729227. The provider is registered as an organization entity type.
The provider's business location address is:
702 N BLACKHAWK AVE STE 205
MADISON, WI
ZIP 53705-357
Phone: (720) 260-4362
Fax: (971) 999-0817
The provider's authorized official is Samuel David Lustgarten .
The authorized official title is Licensed Psychologist/owner and has the following contact phone number (720) 260-4362.
The enumeration date for this NPI number is 9/22/2021 and was last updated on 12/23/2022.