Individual
SHAWNTELL NICOLE PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 777-7700
(414) 955-0114
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 777-7700
(414) 955-0114
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5316-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992505358
—
WI
Enumeration date
03/15/2025
Last updated
03/17/2026
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