Provider Demographics
NPI:1861371031
Name:SANCHEZ, SERGIO CARLOS (PSYD)
Entity type:Individual
Prefix:DR
First Name:SERGIO
Middle Name:CARLOS
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15335 BROJAN DR
Mailing Address - Street 2:
Mailing Address - City:ELM GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53122-1008
Mailing Address - Country:US
Mailing Address - Phone:414-559-6946
Mailing Address - Fax:
Practice Address - Street 1:15335 BROJAN DR
Practice Address - Street 2:
Practice Address - City:ELM GROVE
Practice Address - State:WI
Practice Address - Zip Code:53122-1008
Practice Address - Country:US
Practice Address - Phone:414-559-6946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4005-57103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical