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Russell Brethauer, PSYD

NPI 1023062528 · on the registry since 2006 · sole proprietor

Practice

Address
700 Pilgrim Pkwy
Suite 201
Elm Grove, WI 53122
Phone
(262) 785-5557
Fax
(262) 785-5586
Organisation at this address
Whyoga Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
106H00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin