Individual
DR. TINA KAUR DHALIWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
9653 N GRANVILLE RD, MEQUON, WI 53097-3513
(262) 404-7166
Mailing address
9653 N GRANVILLE RD, MEQUON, WI 53097-3513
(262) 404-7166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
3033-57
WI
Other
Enumeration date
06/22/2010
Last updated
05/16/2023
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