Organization
THIRD WAVE PSYCHOTHERAPY & ASSESSMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN PAYNE PHD (PSYCHOLOGIST/OWNER)
(414) 215-0017
Entity
Organization
Contact information
Practice address
2180 S 87TH ST, WEST ALLIS, WI 53227-1720
(414) 215-0017
Mailing address
2180 S 87TH ST, WEST ALLIS, WI 53227-1720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427492347
NPI
WI
Enumeration date
10/24/2024
Last updated
10/24/2024
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