Organization
LIFESPAN PSYCHOTHERAPY
Active
Other names
Lifespan Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS A DROSDICK MA NCC, CSAC, ATR-BC (PSYCHOTHERAPIST)
(262) 361-4275
Entity
Organization
Contact information
Practice address
510 HARTBROOK DR STE 204B, HARTLAND, WI 53029-1440
(126) 236-1427
(262) 313-0038
Mailing address
510 HARTBROOK DR STE 204B, HARTLAND, WI 53029-1440
(126) 236-1427
(262) 313-0038
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528364825
—
WI
Enumeration date
07/27/2020
Last updated
07/27/2020
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