Dr. Jill Mallin, PHD, LP
Dr. Jill Mallin, PHD, LP is a Clinical Psychologist in Fort Atkinson, Wisconsin. Qualified in 2007, 19 years ago. Practices as a sole proprietor. Licensed in Wisconsin.
- Years since qualifying
- 19
- Licensed in
- WI
- In the registry since
- 2020
What do these letters mean?
- PHD — Doctor of Philosophy
- A research doctorate. In healthcare it usually sits alongside a clinical licence.
Practice location Address checks out
201 N Main St Ste 411Fort Atkinson, WI 53538-1805
Phone: (920) 397-4015
Fax: (608) 237-2146
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 2850-57 (WI) |
|---|
Record details
| NPI number | 1184248593 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHD , LP |
| Sole proprietor | Yes |
| NPI enumerated | June 1, 2020 |
| Last updated in NPPES | January 12, 2023 |
| Certification date | January 12, 2023 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Fort Atkinson
-
Nicholas J Bisenius, PHD
509 McMillen St, Fort Atkinson, WI 53538-1263 · (920) 563-7995
-
Randall L Daut, PHD
509 McMillen St, Fort Atkinson, WI 53538-1263 · (920) 563-7995
-
Samuel C Smith, PHD
509 McMillen St, Fort Atkinson, WI 53538-1263 · (920) 563-7995