NPI 1194587923
Neurodiversity & Disability Affirming Therapy LTD.
Practice location
- Address
- 541 S Randall Ave, Madison, WI 53715
- Phone
- (262) 427-8420
- Mailing address
- 541 S Randall Ave, Madison, WI 53715-1653
Authorised official
- Name
- Jessica Marie Brooks
- Title
- Owner, Psychologist
- Phone
- (608) 963-1380
Registered specialties
Psychologist
Primary
Registry record
- NPI
- 1194587923
- Entity type
- Organization
- NPI issued
- 26 Jan 2024
- Record last updated
- 26 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.