Individual
DR. SHANNON SKAISTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PHD
Contact information
Practice address
630 S 36TH AVE, WAUSAU, WI 54401-3930
(414) 301-1060
Mailing address
630 S 36TH AVE, WAUSAU, WI 54401-3930
(414) 301-1060
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
532457
WI
Other
Enumeration date
10/14/2024
Last updated
02/19/2025
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