Organization · Type 2 NPI

Sebastian Family Psychology Practice, LLC

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

NPI number 1619011046 Active

Practice location

6025 N Green Bay Ave
Glendale, WI 53209-3811

Fax (414) 247-0816

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X1784-057 (WI)
Cognitive & Behavioral Psychologist 103TB0200X1784-057 (WI)
Clinical Psychologist 103TC0700X1784-057 (WI)
Clinical Child & Adolescent Psychologist 103TC2200X1784-057 (WI)
Social Worker 104100000X126576-121 (WI)
Social Worker 104100000X3079-123 (WI)
Social Worker 104100000X302-123 (WI)
Social Worker 104100000X160-123 (WI)
Interpreter 171R00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

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

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About NPI 1619011046

Sebastian Family Psychology Practice, LLC's National Provider Identifier is 1619011046, issued on Feb 18, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Glendale, WI. The record was last updated on Jul 20, 2023.