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NPI Code Detail

MEDICARE: HEATHER W SEELEY-SCHRECK LMFT

MEDICARE:   HEATHER W SEELEY-SCHRECK  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist1036-124WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417022922
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER W SEELEY-SCHRECK LMFT
Provider Business Mailing Address
First Line : 6502 GRAND TETON PLZ STE 102
Second Line :
City : MADISON
State : WI
Zip : 53719-1047
Country : US
Telephone Number : 608-827-7220
Fax Number : 608-827-7223
Provider Business Practice Location Address
First Line : 6502 GRAND TETON PLZ STE 102
Second Line :
City : MADISON
State : WI
Zip : 53719-1047
Country : US
Telephone Number : 608-827-7220
Fax Number : 608-827-7223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 01/16/2024

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Directions to “ HEATHER W SEELEY-SCHRECK LMFT” Practice Location

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