Sebastian Family Psychology Practice, LLC

NPI #1619011046 in Glendale, Wisconsin

Provider Information

NPI Number: 1619011046
Entity Type: Organization
Organization Name: Sebastian Family Psychology Practice, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 18, 2007
Last Updated: Jul 20, 2023

Practice Location

Address: 6025 N GREEN BAY AVE
City: Glendale
State: Wisconsin
ZIP Code: 53209-3811
Phone: (414) 247-0801

Authorized Official

Name: DR. SEBASTIAN L SSEMPIJJA, PHD
Title: CLINIC DIRECTOR
Phone: (414) 915-2967

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Social Worker	104100000X
Interpreter	171R00000X
Psychologist	103T00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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