Organization
ACADEMIC & FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN G. STERN PH.D. (OWNER)
(262) 783-7778
Entity
Organization
Contact information
Practice address
9120 W HAMPTON AVE, SUITE 119, MILWAUKEE, WI 53225-4960
(262) 783-7778
(414) 464-9510
Mailing address
9120 W HAMPTON AVE, SUITE 119, MILWAUKEE, WI 53225-4960
(262) 783-7778
(414) 464-9510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
745-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39015500
—
WI
Enumeration date
07/23/2007
Last updated
07/23/2007
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