Individual
DR. JILL MALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
201 N MAIN ST STE 411, FORT ATKINSON, WI 53538-1805
(920) 397-4015
(608) 237-2146
Mailing address
201 N MAIN ST STE 411, FORT ATKINSON, WI 53538-1805
(920) 397-4015
(608) 237-2146
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2850-57
WI
Other
Enumeration date
06/01/2020
Last updated
01/12/2023
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