Individual
JENNIFER VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2428 N GRANDVIEW BLVD STE 101, WAUKESHA, WI 53188-6906
(262) 259-4100
(262) 290-5756
Mailing address
2428 N GRANDVIEW BLVD STE 101, WAUKESHA, WI 53188-6906
(262) 259-4100
(262) 290-5756
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3658-57
WI
Other
Enumeration date
07/21/2016
Last updated
09/21/2022
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