Deborah A Stec Phd Inc | |
2717 N Grandview Blvd Ste 202 Waukesha WI 53188 | |
(262) 513-0700 | |
(262) 513-0707 |
Full Name | Deborah A Stec Phd Inc |
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Speciality | Psychologist |
Location | 2717 N Grandview Blvd, Waukesha, Wisconsin |
Authorized Official Name and Position | Deborah A Stec (OWNER) |
Authorized Official Contact | 2625130700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Deborah A Stec Phd Inc S32w31791 Squire Court Waukesha WI 53189 Ph: (262) 513-0700 | Deborah A Stec Phd Inc 2717 N Grandview Blvd Ste 202 Waukesha WI 53188 Ph: (262) 513-0700 |
NPI Number | 1326268236 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 04/08/2013 |
Medicare PECOS PAC ID | 6608912829 |
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Medicare Enrollment ID | O20091001000356 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326268236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
103TF0000X | Psychologist - Family | (* (Not Available)) | Secondary |
Provider Name | Deborah A Stec |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1427278498 PECOS PAC ID: 1254477474 Enrollment ID: I20091001000348 |
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