Third Wave Psychotherapy & Assessment, LLC
NPI #1295556975 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1295556975
- Entity Type
- Organization
- Organization Name
- Third Wave Psychotherapy & Assessment, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 24, 2024
- Last Updated
- Oct 24, 2024
Practice Location
- Address
- 2180 S 87TH ST
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-1720
- Phone
- (414) 215-0017
Authorized Official
- Name
- DR. KRISTEN PAYNE, PHD
- Title
- PSYCHOLOGIST/OWNER
- Phone
- (414) 215-0017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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