Individual
DR. JODY ANN PAHLAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
N48W16080 LONE OAK LN, MENOMONEE FALLS, WI 53051-7528
(414) 745-3117
Mailing address
N48W16080 LONE OAK LN, MENOMONEE FALLS, WI 53051-7528
(414) 745-3117
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1694-057
WI
103TC0700X
Clinical Psychologist
Primary
19360
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39229700
—
WI
Enumeration date
08/16/2005
Last updated
10/14/2025
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