Individual
ATHENA LICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1500 HIGHLAND AVE, MADISON, WI 53705-2274
(608) 890-3077
Mailing address
1500 HIGHLAND AVE, MADISON, WI 53705-2274
(608) 890-3077
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3008-57
WI
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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