Organization
AMY SCHLEY PHD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J SMITH (CLINIC MANAGER)
(262) 542-6694
Entity
Organization
Contact information
Practice address
204 WISCONSIN AVE, WAUKESHA, WI 53186-4927
(262) 542-6694
(262) 542-6213
Mailing address
204 WISCONSIN AVE, WAUKESHA, WI 53186-4927
(262) 542-6694
(262) 542-6213
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1037
WI
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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