Individual
SANJLI MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1956 ATWOOD AVE, MADISON, WI 53704-5221
(608) 616-0265
Mailing address
1956 ATWOOD AVE, MADISON, WI 53704-5221
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
524057
WI
Other
Enumeration date
08/23/2023
Last updated
02/19/2025
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