Great Lakes Mental Health Center

NPI #1609198027 in Hayward, Wisconsin

Provider Information

NPI Number: 1609198027
Entity Type: Organization
Organization Name: Great Lakes Mental Health Center
Primary Specialty: Psychologist
Enumeration Date: Feb 26, 2010
Last Updated: Feb 26, 2010

Practice Location

Address: 15910 W COMPANY LAKE RD
City: Hayward
State: Wisconsin
ZIP Code: 54843-5320
Phone: (715) 790-2100

Authorized Official

Name: DR. DAMIAN VRANIAK, PHD
Title: LICENSED PSYCHOLOGIST
Phone: (715) 790-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Psychologist	103T00000X	Primary

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