Individual
DR. KATELYN MARY GRUSECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
301 TROY DR, ADMINISTRATION BUILDING, MADISON, WI 53704-1521
(608) 301-1045
(608) 301-1390
Mailing address
301 TROY DR, ADMINISTRATION BUILDING, MADISON, WI 53704-1521
(608) 301-1045
(608) 301-1390
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3848-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3848-57
DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
03/25/2021
Last updated
03/25/2021
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