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
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-1805
- Phone
- (920) 397-4015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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