Wyatt Urlacher Psychotherapy

NPI #1316766025 in Brandon, South Dakota

Provider Information

NPI Number: 1316766025
Entity Type: Organization
Organization Name: Wyatt Urlacher Psychotherapy
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 9, 2024
Last Updated: Oct 9, 2024

Practice Location

Address: 101 W BIRCHWOOD DR
City: Brandon
State: South Dakota
ZIP Code: 57005-2107
Phone: (605) 519-3588

Authorized Official

Name: WYATT LAWRENCE URLACHER, LCSW-PIP
Title: OWNER
Phone: (605) 519-3588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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