Individual
VONNIE SISAUYHOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
016412-1
NY
103TC0700X
Clinical Psychologist
Primary
2833-057
WI
103TC0700X
Clinical Psychologist
6301013376
MI
Other
Enumeration date
05/20/2006
Last updated
06/02/2010
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