Provider Demographics
NPI:1437385655
Name:SCHWARZBROTT, SEASON ADRIENNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SEASON
Middle Name:ADRIENNE
Last Name:SCHWARZBROTT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:SEASON
Other - Middle Name:A
Other - Last Name:ELLERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:49 KESSEL CT
Mailing Address - Street 2:STE 105
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-6275
Mailing Address - Country:US
Mailing Address - Phone:608-280-2520
Mailing Address - Fax:
Practice Address - Street 1:49 KESSEL CT
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-6275
Practice Address - Country:US
Practice Address - Phone:608-280-2520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2914-057103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist