Organization
IN DEPTH PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLI GURHOLT PSYD (PSYCHOLOGIST)
(715) 281-9259
Entity
Organization
Contact information
Practice address
10425 W NORTH AVE STE 239, WAUWATOSA, WI 53226-2416
(715) 281-9259
Mailing address
10425 W NORTH AVE STE 239, WAUWATOSA, WI 53226-2416
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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