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A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
103TH0100X | 62 | Psychologist, Clinical | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical |
| NPI Number | 1639830151 |
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| LBN Legal business name | WISCONSIN PSYCHOLOGY ASSOCIATES, LLC | ||||||||
| Authorized official | ROSITA FERNANDEZ - (OWNER/PSYCHOLOGIST) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/06/2022 | ||||||||
| Last updated | 02/09/2022 - About 4 years ago | ||||||||
| Identifiers |
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| WISCONSIN PSYCHOLOGY ASSOCIATES, LLC 318 MARGARET CT BURLINGTON, WI |
| SANDRA J REGAN, PHD 146 E GENEVA SQ LAKE GENEVA, WI |
| MICHAEL J GILLEN, PhD 21425 SPRING STREET UNION GROVE, WI |
| JACQUELYNN MILLER, PhD 4213 US RT 12 RICHMOND, IL |
| SANDRA E CLAVELLI, PSY.D. 420 W. GRAND AVE LAKE VILLA, IL |
| PATRICIA A TAGLIONE, PSY. D. 420 W. GRAND AVENUE LAKE VILLA, IL |
| LINDA PAULL, PSY.D. 420 W. GRAND AVE. LAKE VILLA, IL |
| LAURA A BENTON, PSY.D. 420 WEST GRAND AVE LAKE VILLA, IL |
| STEVEN D KULB, PSY.D. 420 WEST GRAND AVENUE LAKE VILLA, IL |
| ALISON ROGERS, PSY.D 420 W. GRAND AVE LAKE VILLA, IL |
WISCONSIN PSYCHOLOGY ASSOCIATES, LLC