NPI Lookup
NPPES Search
Providers by State
Blog
Home
1972075661
MOONLIGHT PSYCHOTHERAPY AND PSYCHOLOGICAL SERVICES, LLC
LA CROSSE, WI
NPI
1972075661
Copy
Entity Type
Organization
Authorized Contact
FREDERICK WILLIAM GREEN
Owner / Psychologist
207-317-0557
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
MOONLIGHT PSYCHOTHERAPY AND PSYCHOLOGICAL SERVICES, LLC
205 5TH AVE S STE 428
LA CROSSE, WI 54601-4059
Phone number: 207-317-0557
Copy
Mailing Address
MOONLIGHT PSYCHOTHERAPY AND PSYCHOLOGICAL SERVICES, LLC
1718 SUNSET DR
LA CROSSE, WI 54601-7030
Phone number: 207-317-0557
Copy
Similar providers in La Crosse, WI
JAMES F HOBART
JENNIFER L MUELLER
CHELSEA M ALE
THOMAS MARK LEDOUX
DENYSE G OLSON-DORFF
SAVANNAH WHITEMARSH
SARAH ANN LONG
MARLENE A BANNEN
NADIA TEALE
KAREN LEE CORONA-LONDRE