Greenbush Psychotherapy LLC

NPI #1891568002 in Madison, Wisconsin

Provider Information

NPI Number: 1891568002
Entity Type: Organization
Organization Name: Greenbush Psychotherapy LLC
Primary Specialty: Psychologist
Enumeration Date: Oct 31, 2023
Last Updated: Oct 31, 2023

Practice Location

Address: 541 S RANDALL AVE
City: Madison
State: Wisconsin
ZIP Code: 53715-1653
Phone: (608) 963-1380

Authorized Official

Name: JESSICA MARIE BROOKS
Title: PSYCHOLOGIST/OWNER
Phone: (608) 963-1380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X
Counselor	101Y00000X
Social Worker - Clinical — Clinical	1041C0700X
Psychologist	103T00000X	Primary

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