Individual
DR. MICHELLE A LEROY HATHEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 265-7090
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3802
WI
103T00000X
Psychologist
LP5782
MN
103T00000X
Psychologist
—
—
Other
Enumeration date
12/10/2013
Last updated
01/30/2024
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