Mallin, Jill

Mallin, Jill is an sole proprietor health care provider with primary practice located at 201 N Main St Ste 411 , Fort Atkinson WI 53538-1805. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mallin, Jill can be contacted via phone (920) 397-4015.

Contact Information

Primary practice address
201 N Main St Ste 411 Fort Atkinson WI 53538-1805
Phone: (920) 397-4015
Fax: (608) 237-2146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2850-57 Wisconsin

Profile Details

NPI number 1184248593
LBN Legal business name Mallin, Jill
Credentials PHD, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2020
Last updated Jan 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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