Individual provider · Type 1 NPI

Mary E. Basham, LMFT

Marriage & Family Therapist · Brookfield, WI

NPI number 1447346465 Active

Practice location

16535 W Bluemound Rd, Suite 200
Brookfield, WI 53005-5936

Call (262) 542-3255 Map

Fax (262) 821-6180

Mailing address

2350 Woodmoor Ln
Brookfield, WI 53045-4259

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X468-124 (WI)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1447346465

Mary E. Basham, LMFT's National Provider Identifier is 1447346465, issued on Oct 5, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Brookfield, WI. The record was last updated on Sep 24, 2008.