Individual
DR. MAUREEN ANNE O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5534 MEDICAL CIR, MADISON, WI 53719-1202
(608) 274-0355
(608) 274-5546
Mailing address
5534 MEDICAL CIR, MADISON, WI 53719-1202
(608) 274-0355
(608) 274-5546
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1698
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1698
STATE LICENSE
WI
05
—
39613200
—
WI
01
—
43493
NATIONAL REGISTER
WI
Enumeration date
10/06/2006
Last updated
07/08/2007
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