| Angela C. Stanley, Psy.d. Psychological Services Llc | |
|
W178n9912 Rivercrest Dr Ste 108 Germantown WI 53022-4662 | |
| (262) 229-5581 | |
| Not Available |
| Full Name | Angela C. Stanley, Psy.d. Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | W178n9912 Rivercrest Dr Ste 108, Germantown, Wisconsin |
| Authorized Official Name and Position | Angela C Stanley (OWNER) |
| Authorized Official Contact | 2622295581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela C. Stanley, Psy.d. Psychological Services Llc W178n9912 Rivercrest Dr Ste 108 Germantown WI 53022-4662 Ph: (262) 229-5581 | Angela C. Stanley, Psy.d. Psychological Services Llc W178n9912 Rivercrest Dr Ste 108 Germantown WI 53022-4662 Ph: (262) 229-5581 |
| NPI Number | 1205490844 |
|---|---|
| Provider Enumeration Date | 04/29/2019 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205490844 | NPI | - | NPPES |
| 1275657272 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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