DR. Jill Mallin, PHD, LP

NPI #1184248593 in Fort Atkinson, Wisconsin

Provider Information

NPI Number
1184248593
Entity Type
Individual
Name
DR. Jill Mallin, PHD, LP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Credential
PHD, LP
Enumeration Date
Jun 1, 2020
Last Updated
Jan 12, 2023

Practice Location

Address
201 N MAIN ST STE 411
ZIP Code
53538-1805
Phone
(920) 397-4015

Specialties & Taxonomy Codes

Specialty
Psychologist

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