DR. Jill Dickson-Baures, PSY. D.

NPI #1700287216 in Portage, Wisconsin

Provider Information

NPI Number: 1700287216
Entity Type: Individual
Name: DR. Jill Dickson-Baures, PSY. D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY. D.
Enumeration Date: Sep 16, 2014
Last Updated: Feb 10, 2020

Practice Location

Address: 2901 HUNTERS TRL
City: Portage
State: Wisconsin
ZIP Code: 53901-3403
Phone: (087) 425-5186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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