Healthcare Provider Details

I. General information

NPI: 1528978657
Provider Name (Legal Business Name): HARLEY STENZEL PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1137 N SHERMAN AVE
MADISON WI
53704-4234
US

IV. Provider business mailing address

2917 COMMERCIAL AVE APT 8
MADISON WI
53704-4832
US

V. Phone/Fax

Practice location:
  • Phone: 608-445-2510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number5602-57
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: