Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JILL MALLIN, PHD, LP
Active Sole ProprietorDR. JILL MALLIN, PHD, LP is a Psychologist healthcare provider located in FORT ATKINSON, Wisconsin. NPI 1184248593 is currently active in the NPPES registry. Verify at CMS.
Psychologist · FORT ATKINSON, WI
Registration Details
- NPI Number
- 1184248593
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2020 (6.1602223774194 yrs)
- Last Updated
- Jan 12, 2023
- License
-
2850-57 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 N MAIN ST STE 411FORT ATKINSON, WI, 535381805Browse WI providers · Browse ZIP 53538
- Phone
- 9203974015
- Fax
- 6082372146
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in FORT ATKINSON, WI
| Name | Credential | NPI |
|---|---|---|
| NICHOLAS J BISENIUS | PHD | 1619998747 |
| SAMUEL C SMITH | PHD | 1720002744 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.