Dr. Sandra M. Adams PHD, CSAC, ICS
Clinical Psychologist in Brookfield, WI(View on Map)
Full Name
Dr. Sandra Marie Adams PHD, CSAC, ICS
NPI Number
1487744918
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/13/2006
Specialties
(Taxonomies)Name
Code
103TC0700X
101YA0400X
1041C0700X
104100000X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Wisconsin
Wisconsin
Wisconsin
Wisconsin
License Number
5093-57
2042
2838
2838123
Contact
Information
Purpose
Mailing
Location
Address
W300S10397 LAKESIDE DR
16535 W BLUEMOUND RD
City
Mukwonago
Brookfield
State
WI
WI
Postal Code
53149-9126
53005-5936
Country
US
US
Telephone Number
(262) 542-3255
(262) 542-3255
Identifiers
Identifier
39681200
Identifier State
WI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/25/2023