Organization · Type 2 NPI

Samuel Lustgarten PHD LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Madison, WI

NPI number 1427729227 Active

Practice location

702 N Blackhawk Ave Ste 205
Madison, WI 53705-3357

Call (720) 260-4362 Map

Fax (971) 999-0817

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

4 other providers at this address

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About NPI 1427729227

Samuel Lustgarten PHD LLC's National Provider Identifier is 1427729227, issued on Sep 22, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Madison, WI. The record was last updated on Dec 23, 2022.