Individual
LISA M NACKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MPH
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 265-7090
(608) 234-6695
Mailing address
4602 EASTPARK BLVD, MAIL CODE AC05, MADISON, WI 53718-2002
(608) 265-7090
(608) 234-6695
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3259
WI
103TC0700X
Clinical Psychologist
071-008908
IL
Other
Enumeration date
11/19/2014
Last updated
01/20/2021
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