Lifespan Psychological Health Cooperative
NPI #1396491403 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1396491403
- Entity Type
- Organization
- Organization Name
- Lifespan Psychological Health Cooperative
- Primary Specialty
- Psychologist
- Enumeration Date
- Feb 28, 2022
- Last Updated
- Feb 28, 2022
Practice Location
- Address
- 13035 W BLUEMOUND RD STE 100
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-8001
- Phone
- (262) 784-1121
Authorized Official
- Name
- SARAH LARSON, LMFT
- Title
- OFFICE ADMINISTRATION
- Phone
- (262) 223-3082
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
| Marriage & Family Therapist |
| Psychologist |
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