Individual
JEAN CATHERINE PANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
313 N 63RD ST, MILWAUKEE, WI 53213-4138
(141) 477-2289
Mailing address
313 N 63RD ST, MILWAUKEE, WI 53213-4138
(414) 475-6631
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2673-057
WI
Other
Enumeration date
06/27/2007
Last updated
07/24/2008
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