Organization
PATRICIA C STANIK PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA C STANIK PHD (OWNER, LICENSED PSYCHOLOGIST)
(414) 800-7645
Entity
Organization
Contact information
Practice address
2448 S 102ND ST, STE 270, WEST ALLIS, WI 53227-2466
(414) 800-7645
(414) 800-7647
Mailing address
2448 S 102ND ST, STE 270, WEST ALLIS, WI 53227-2466
(414) 800-7645
(414) 800-7647
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
WI
103TA0700X
Adult Development & Aging Psychologist
—
WI
103TC2200X
Clinical Child & Adolescent Psychologist
—
WI
103TH0004X
Health Psychologist
—
WI
103TR0400X
Rehabilitation Psychologist
—
WI
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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