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Individual

PROF. LYNDA DIANE DAHLKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 896-8252
Mailing address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1825-57
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1825-057
STATE LICENSE
WI
Enumeration date
12/24/2007
Last updated
03/29/2011
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