| Assessment And Therapeutic Solutions, Llc | |
|
2448 S 102nd St Ste 270 West Allis WI 53227-2147 | |
| (414) 800-7645 | |
| (414) 800-7647 |
| Full Name | Assessment And Therapeutic Solutions, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2448 S 102nd St Ste 270, West Allis, Wisconsin |
| Authorized Official Name and Position | Michelle Luczak (OFFICE MANAGER) |
| Authorized Official Contact | 4148007645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assessment And Therapeutic Solutions, Llc 2448 S 102nd St Ste 270 West Allis WI 53227-2147 Ph: (414) 800-7645 | Assessment And Therapeutic Solutions, Llc 2448 S 102nd St Ste 270 West Allis WI 53227-2147 Ph: (414) 800-7645 |
| NPI Number | 1649821638 |
|---|---|
| Provider Enumeration Date | 09/23/2019 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Medicare PECOS PAC ID | 8527390061 |
|---|---|
| Medicare Enrollment ID | O20191101000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649821638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Patricia C Stanik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609956242 PECOS PAC ID: 5890729131 Enrollment ID: I20101122000045 |
| Provider Name | Tiffany M Jacobsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821360199 PECOS PAC ID: 1254663792 Enrollment ID: I20191101000874 |
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