Individual
TANYA MARIE NOVOTNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4785 HAYES RD STE 100, MADISON, WI 53704-7364
(608) 242-7160
Mailing address
4785 HAYES RD STE 100, MADISON, WI 53704-7364
(608) 242-7160
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5192
WI
103TS0200X
School Psychologist
857723
WI
Other
Enumeration date
06/22/2021
Last updated
08/30/2024
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