Individual
ROSEANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6001 RESEARCH PARK BLVD, MADISON, WI 53719
(608) 263-6100
(608) 262-9246
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1147
WI
Other
Enumeration date
02/27/2006
Last updated
01/30/2009
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