Individual
ABBY NEISIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1500 HIGHLAND AVE, MADISON, WI 53705-2280
(608) 263-3301
Mailing address
1500 HIGHLAND AVE, MADISON, WI 53705-2280
(608) 263-3301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2980
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
09/02/2016
Last updated
08/17/2021
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