Individual
STACY L KILLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6300 ENTERPRISE LN STE 213, MADISON, WI 53719-1190
(608) 707-9444
Mailing address
6300 ENTERPRISE LN STE 213, MADISON, WI 53719-1190
(608) 707-9444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048496
—
WI
Enumeration date
09/10/2015
Last updated
02/27/2026
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