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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SEBASTIAN FAMILY PSYCHOLOGY PRACTICE, LLC

Active Organization

SEBASTIAN FAMILY PSYCHOLOGY PRACTICE, LLC is a Mental Health Clinic organization located in GLENDALE, Wisconsin. NPI 1619011046 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · GLENDALE, WI

Registration Details

NPI Number
1619011046
Provider Type
Organization
NPI Issued
Feb 18, 2007 (19.479442678882 yrs)
Last Updated
Jul 20, 2023
Licenses
1784-057 (WI)
1784-057 (WI)
1784-057 (WI)
126576-121 (WI)
3079-123 (WI)

Practice Information

Address
6025 N GREEN BAY AVE
GLENDALE, WI, 532093811
Browse WI providers · Browse ZIP 53209
Phone
4142470801
Fax
4142470816
Primary Specialty
Mental Health Clinic
261QM0801X
Additional Specialty
Clinical Psychologist
Additional Specialty
Child, Clinical Psychologist
Additional Specialty
Social Worker
Additional Specialty
Social Worker

Other Mental Health Clinic Organizations in GLENDALE, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.