Stanley, Angela C

Stanley, Angela C is an individual health care provider with primary practice located at W178N9912 Rivercrest Dr Ste 108 , Germantown WI 53022-4662. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stanley, Angela C can be contacted via phone (262) 229-5581.

Contact Information

Primary practice address
W178N9912 Rivercrest Dr Ste 108 Germantown WI 53022-4662
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2751-057 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2751 Wisconsin

Profile Details

NPI number 1275657272
LBN Legal business name Stanley, Angela C
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2007
Last updated Feb 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275657272 NPPES
Wisconsin MEDICAID 39160100

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