Provider First Line Business Practice Location Address:
222 S BEDFORD ST
Provider Second Line Business Practice Location Address:
ISTHMUS PSYCHOTHERAPY, LLC
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53703-3688
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-256-6570
Provider Business Practice Location Address Fax Number:
608-256-4551
Provider Enumeration Date:
11/08/2005