| Wisconsin Geriatric Psychological Services Sc | |
|
3254 S 86th St Milwaukee WI 53227-4620 | |
| (718) 268-6600 | |
| (718) 268-6065 |
| Full Name | Wisconsin Geriatric Psychological Services Sc |
|---|---|
| Speciality | Psychologist |
| Location | 3254 S 86th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Patricia C Stanik (PSYCHOLOGIST) |
| Authorized Official Contact | 4144449811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Geriatric Psychological Services Sc 3254 S 86th St Milwaukee WI 53227-4620 Ph: (718) 268-6600 | Wisconsin Geriatric Psychological Services Sc 3254 S 86th St Milwaukee WI 53227-4620 Ph: (718) 268-6600 |
| NPI Number | 1538451075 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 03/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538451075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1998-57 (Wisconsin) | Primary |
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