Individual
NICHOLAS JEFFREY WALKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
5555 N PORT WASHINGTON RD STE 300, GLENDALE, WI 53217-4928
(218) 590-3590
Mailing address
2129 N STOUGHTON RD, MADISON, WI 53704-2613
(218) 590-3590
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
STUDENT
WI
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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