Individual
ANNE M O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6515 WATTS RD, SUITE 206, MADISON, WI 53719-2726
(608) 238-5826
(608) 238-1221
Mailing address
6515 WATTS RD, SUITE 206, MADISON, WI 53719-2726
(608) 238-5826
(608) 238-1221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1505125
WI
103T00000X
Psychologist
Primary
2744-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39219000
—
WI
Enumeration date
05/15/2006
Last updated
08/09/2011
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