Actualized Clinical Services Consulting, Inc.

NPI #1205050903 in Elm Grove, Wisconsin

Provider Information

NPI Number
1205050903
Entity Type
Organization
Organization Name
Actualized Clinical Services Consulting, Inc.
Primary Specialty
Psychologist - Clinical
Enumeration Date
Apr 12, 2007
Last Updated
Jan 9, 2009

Practice Location

Address
820 BRINSMERE DRIVE
ZIP Code
53122
Phone
(262) 993-5427

Authorized Official

Name
DR. ANGELA CHRISTINA STANLEY, PSY.D.
Title
OWNER & PRESIDENT
Phone
(262) 993-5427

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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