Organization · Type 2 NPI

Life-Span Psychological Services, LLC

Professional Counselor · Brookfield, WI

NPI number 1366615205 Active

Practice location

13035 W Bluemound Rd Ste 100
Brookfield, WI 53005-8001

Call (262) 784-1121 Map

Fax (262) 784-9777

Mailing address

13035 W Bluemound Rd, Suite #100
Brookfield, WI 53005-8001

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3073-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1366615205

Life-Span Psychological Services, LLC's National Provider Identifier is 1366615205, issued on Apr 11, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brookfield, WI. The record was last updated on Jul 9, 2009.