Individual
DR. KATIE ROLLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
(920) 288-5500
Mailing address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2939-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063786556
—
WI
Enumeration date
02/29/2012
Last updated
02/20/2017
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