Individual
ANGELA C STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
W178N9912 RIVERCREST DR STE 108, GERMANTOWN, WI 53022-4662
(262) 229-5581
Mailing address
W178N9912 RIVERCREST DR STE 108, GERMANTOWN, WI 53022-4662
(262) 229-5581
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2751
WI
103TC2200X
Clinical Child & Adolescent Psychologist
2751-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39160100
—
WI
Enumeration date
03/17/2007
Last updated
02/28/2022
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