Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 1196-057 | WI |
NPI | 1073683413 |
---|---|
Provider Name | Dr. Amy M Schley |
First Address | Waukesha, WI 53186-4927 |
Second Address | Waukesha, WI 53186-4927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 08/07/2007 |