| Academic & Family Services, Llc | |
|
9120 W Hampton Ave Suite 119 Milwaukee WI 53225-4960 | |
| (262) 783-7778 | |
| (414) 464-9510 |
| Full Name | Academic & Family Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9120 W Hampton Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Ellen G. Stern (OWNER) |
| Authorized Official Contact | 2627837778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Academic & Family Services, Llc 9120 W Hampton Ave Suite 119 Milwaukee WI 53225-4960 Ph: (262) 783-7778 | Academic & Family Services, Llc 9120 W Hampton Ave Suite 119 Milwaukee WI 53225-4960 Ph: (262) 783-7778 |
| NPI Number | 1841490364 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841490364 | NPI | - | NPPES |
| 39015500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 745-057 (Wisconsin) | Primary |
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