| Doctor Name: | MR. STACEY L. SALYERS |
| NPI Number: | 1144528175 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 8279-123 |
| Business Practice Address: | 1466 Water St Suite 2 Stevens Point, WI - 544812919 |
| Business Phone Number: | 7153416672 |
| Business Fax Number: | 7153418004 |
| Mailing Address: | 9000 W Wisconsin Ave, Ms 958 MILWAUKEE |
| State: | WI |
| Postal Code: | 532264874 |
| Phone Number: | 4142667615 |
| Fax Number: | 4142666238 |
| NPI Enumeration Date: | 02/28/2011 |
| NPI Last Update Date: | 12/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 8279-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |