Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JILL M. WOLLENZIEN-DANIELS, PHD
Active Sole ProprietorDR. JILL M. WOLLENZIEN-DANIELS, PHD is a Clinical Psychologist healthcare provider located in MOSINEE, Wisconsin. NPI 1730227885 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MOSINEE, WI
Registration Details
- NPI Number
- 1730227885
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2007 (19.387914837708 yrs)
- Last Updated
- Feb 11, 2009
- Licenses
-
2273-057 (WI)2273-057 (WI)2273-057 (WI)2273-057 (WI)2273-057 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2290 RICKIE DRMOSINEE, WI, 544558848Browse WI providers · Browse ZIP 54455
- Phone
- 7152982104
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Adult Development & Aging Psychologist
- Additional Specialty
- Cognitive & Behavioral Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Child, Clinical Psychologist
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.