Individual
DR. JENNIFER MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
500 N 1ST ST STE 2400, WAUSAU, WI 54403-4886
(715) 322-3581
(715) 997-8675
Mailing address
500 N 1ST ST STE 2400, WAUSAU, WI 54403-4886
(715) 322-3581
(715) 997-8675
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2257-057
WI
103TH0004X
Health Psychologist
2257-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39130600
—
WI
Enumeration date
09/02/2006
Last updated
09/30/2024
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