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Contact Information

ACADEMIC & FAMILY SERVICES, LLC
9120 W HAMPTON AVE
SUITE 119
MILWAUKEE, WI53225-4960
 Phone: 262-783-7778
 Fax: 414-464-9510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ACADEMIC FAMILY SERVICES LLC · (Female)

NPI Number 1841490364
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2007
Last updated 07/23/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 745-057
  • WI Medicaid 39015500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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