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Individual

DR. MINDY ELIZABETH HASELEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
705 W MAIN ST STE 3, SUN PRAIRIE, WI 53590-2849
(608) 825-6663
(608) 825-6946
Mailing address
705 W MAIN ST STE 3, SUN PRAIRIE, WI 53590-2849
(608) 825-6663
(608) 825-6946

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2519057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13664
DEAN INS
WI
01
2004452
PHYSICIANS PLUS INS
WI
01
348589
MHN INSURANCE
WI
01
39184249622
UNITY INSURANCE WATERTOWN
WI
01
39184249623
UNITY INS LAKE MILLS
WI
05
40976400
WI
Enumeration date
08/03/2006
Last updated
07/10/2013
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