Individual provider · Type 1 NPI

Jill Mallin, PhD, LP

Psychologist · Fort Atkinson, WI

NPI number 1184248593 Active

Practice location

201 N Main St Ste 411
Fort Atkinson, WI 53538-1805

Fax (608) 237-2146

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X2850-57 (WI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1184248593

Jill Mallin, PhD, LP's National Provider Identifier is 1184248593, issued on Jun 1, 2020. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fort Atkinson, WI. The record was last updated on Jan 12, 2023.