Organization
MADISON PSYCHOTHERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE GHILARDI LCSW (OFFICE MANAGER)
(608) 251-0839
Entity
Organization
Contact information
Practice address
1912 ATWOOD AVE, SUITE #5, MADISON, WI 53704-5461
(608) 251-0839
(608) 255-2752
Mailing address
1912 ATWOOD AVE, SUITE #5, MADISON, WI 53704-5461
(608) 251-0839
(608) 255-2752
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1552
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42112900
—
WI
Enumeration date
05/03/2007
Last updated
12/03/2007
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