Individual
MARIA YAKOVLEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2923 MARKETPLACE DR STE 204, FITCHBURG, WI 53719-5321
(847) 220-7767
Mailing address
2923 MARKETPLACE DR STE 204, FITCHBURG, WI 53719-5321
(847) 220-7767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5151-57
WI
103TC2200X
Clinical Child & Adolescent Psychologist
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Other
Enumeration date
08/02/2022
Last updated
05/07/2024
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