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Contact Information

MICHELLE L ROSE BARAJAS, PSY.D.
903 MINERAL POINT AVE
JANESVILLE, WI53548-2970
 Phone: 608-756-5555
 Fax: 608-756-0174
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MICHELLE L ROSE BARAJAS · (Female)

NPI # 1144246182
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 07/14/2006
Last updated 11/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2969-57
  • WI License # 510-126
  • WI Medicaid 43590100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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