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Individual

DR. KAVITHA DHARMALINGAM VENKATESWARAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2675 N MAYFAIR RD STE 400, MILWAUKEE, WI 53226-1305
(414) 763-6910
(414) 763-6911
Mailing address
2675 N MAYFAIR RD STE 400, MILWAUKEE, WI 53226-1305
(414) 763-6910
(414) 763-6911

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
3742-57
WI
103TC1900X
Counseling Psychologist
3742-57
WI

Other

Enumeration date
12/05/2019
Last updated
12/07/2022
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