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Contact Information

JACQUELINE BORTHWICK
161 W WISCONSIN AVE
PEWAUKEE, WI53072-3467
 Phone: 262-695-8857
 Fax: 262-695-8879
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACQUELINE BORTHWICK · (Female)

NPI Number 1497208110
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2016
Last updated 07/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3354-57
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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