Individual
DR. ANGELA CHRISTINE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1701 SHARP RD, WATERFORD, WI 53185-5214
(262) 534-8522
Mailing address
1701 SHARP RD, WATERFORD, WI 53185-5214
(262) 534-8522
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2933-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43722900
—
WI
Enumeration date
02/12/2009
Last updated
08/02/2011
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