Octave Behavioral Michigan PC

NPI #1649089624 in Madison, Wisconsin

Provider Information

NPI Number: 1649089624
Entity Type: Organization
Organization Name: Octave Behavioral Michigan PC
Primary Specialty: Psychologist
Enumeration Date: Jan 3, 2025
Last Updated: Jan 3, 2025

Practice Location

Address: 8040 EXCELSIOR DR STE 400
City: Madison
State: Wisconsin
ZIP Code: 53717-2915
Phone: (415) 360-3083

Authorized Official

Name: KYM EVERETT
Title: VP REVENUE OPERATIONS
Phone: (650) 504-2289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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