Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gary Jay Stark, PHD

Individual provider Clinical Psychologist · NPI 1134294911

Dr. Gary Jay Stark, PHD is a Clinical Psychologist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

9455 W Watertown Plank Rd
Milwaukee, WI 53226-3559
Phone: (414) 257-6995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1269-057 (WI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1269-057 (WI)

Record details

NPI number1134294911
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESSeptember 30, 2008

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