Individual
DR. PATRICIA CAROL STANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2448 S 102ND ST, SUITE 270, WEST ALLIS, WI 53227-2466
(414) 800-7645
(414) 800-7647
Mailing address
2448 S 102ND ST, SUITE 201, WEST ALLIS, WI 53227-2466
(414) 800-7645
(414) 800-7647
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1998
WI
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
1998
WI
103TR0400X
Rehabilitation Psychologist
1998
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998
STATE LICENSE
WI
Enumeration date
10/17/2006
Last updated
11/14/2019
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