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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

NPI # 1841490364
LBN Legal business name ACADEMIC & FAMILY SERVICES, LLC
Authorized official ELLEN STERN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2007
Last updated 07/23/2007 - About 19 years ago
Identifiers
WI License # 745-057
WI Medicaid 39015500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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