Provider Demographics
NPI:1740945526
Name:SEDLMAYR, SADIE (MFT)
Entity type:Individual
Prefix:
First Name:SADIE
Middle Name:
Last Name:SEDLMAYR
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6305 LINWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-2232
Mailing Address - Country:US
Mailing Address - Phone:608-397-2357
Mailing Address - Fax:
Practice Address - Street 1:6305 LINWOOD CT
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-2232
Practice Address - Country:US
Practice Address - Phone:608-397-2357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-05
Last Update Date:2024-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1142-228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist