Individual
DR. JACQUELYN BOGDANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9302 W BLUEMOUND RD, MILWAUKEE, WI 53226-4449
(262) 289-8379
Mailing address
9302 W BLUEMOUND RD, MILWAUKEE, WI 53226-4449
(262) 289-8379
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3661-57
WI
Other
Enumeration date
12/06/2017
Last updated
10/28/2025
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