Individual
DR. SALLY MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
519 MIDLAND CT, SUITE #102, JANESVILLE, WI 53546-2336
(608) 756-9090
(608) 756-2920
Mailing address
519 MIDLAND CT, SUITE #102, JANESVILLE, WI 53546-2336
(608) 756-9090
(608) 756-2920
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2347-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39134700
—
WI
Enumeration date
06/22/2006
Last updated
07/09/2007
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