Individual
LAUREN ELIZABETH KNUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4706 COTTAGE GROVE RD STE 100, MADISON, WI 53716-1354
(855) 607-8242
Mailing address
4706 COTTAGE GROVE RD STE 100, MADISON, WI 53716-1354
(855) 607-8242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5474-57
WI
103TS0200X
School Psychologist
Primary
101YM0800X
WI
Other
Enumeration date
05/31/2023
Last updated
06/07/2026
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