Doctor Name: | AMBER STROUD |
NPI Number: | 1235504432 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | 3885-125 |
Business Practice Address: | 119 Mill Rd Palmyra, WI - 531569310 |
Business Phone Number: | 2623705527 |
Business Fax Number: | 2624958689 |
Mailing Address: | 624 N 66th St, WAUWATOSA |
State: | WI |
Postal Code: | 532134060 |
Phone Number: | 4147081271 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2015 |
NPI Last Update Date: | 12/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3885-125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |