NPI 1114456712

Melissa a Wingate, PSYD

Practitioner Clinical Neuropsychologist Kenosha, WI

Practice location

Address: 10400 75th St, Kenosha, WI 53142-7884
Phone: (262) 948-7815
Fax: (262) 948-7816
Mailing address: PO Box 735044, Chicago, IL 60673-5044

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 3474 (WI)

Other Clinical Neuropsychologist providers in Wisconsin →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 3474 (WI)

Other Psychologist providers in Wisconsin →

Registry record

NPI: 1114456712
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2017
Record last updated: 24 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.