Individual
KAYLA P DOCKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 929-2300
Mailing address
ATTN: NANCY PIERCE-SSM HEALTH FDL REGIONAL CLINIC, 1808 W BELTLINE HWY, MADISON, WI 53713-2334
(920) 926-4200
(920) 926-8933
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4085-57
WI
390200000X
Student in an Organized Health Care Education/Training Program
3491-226
WI
Other
Enumeration date
06/26/2017
Last updated
02/12/2024
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