Provider Demographics
NPI:1073683413
Name:SCHLEY, AMY M (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:M
Last Name:SCHLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-4927
Mailing Address - Country:US
Mailing Address - Phone:262-542-6694
Mailing Address - Fax:262-542-6213
Practice Address - Street 1:204 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-4927
Practice Address - Country:US
Practice Address - Phone:262-542-6694
Practice Address - Fax:262-542-6213
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1196-057103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent