Individual
DR. SUSANNE GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1122 FEATHER EDGE DR, VERONA, WI 53593-7841
(608) 250-2492
Mailing address
PO BOX 46263, MADISON, WI 53744-6263
(608) 250-2492
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2388
WI
103T00000X
Psychologist
Primary
2388-057
WI
Other
Enumeration date
04/26/2006
Last updated
01/04/2021
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