Female

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)

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

Provider Address

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