Individual
DR. NICK S. YACKOVICH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6376
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6376
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2755-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40952500
—
WI
Enumeration date
11/13/2008
Last updated
01/26/2026
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