Organization
CENTER FOR BEHAVIORAL MEDICINE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL MOGLOWSKY LPC (PRESIDENT)
(262) 782-2820
Entity
Organization
Contact information
Practice address
13400 BISHOPS LN STE 290, BROOKFIELD, WI 53005-6254
(262) 782-2820
(262) 782-6937
Mailing address
13400 BISHOPS LN STE 290, BROOKFIELD, WI 53005-6254
(262) 782-2820
(262) 782-6937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42241600
—
WI
Enumeration date
05/17/2006
Last updated
02/06/2024
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