Dr. Janice Alberdiena Vanniel, Psy.D.
Psychologist, Clinical in Kenosha, WI. Individual provider (NPI-1).
NPI number1497957724
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497957724
- Entity type
- Individual (NPI-1)
- Name
- Dr. Janice Alberdiena Vanniel
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 31, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1777-057 | WI | Yes |
| 103TC0700X | Psychologist, Clinical | 071-004340 | IL |
Practice location
7807 15th AveKenosha, WI 53143-5913
Phone 262-656-1531 · Fax 262-654-2031
Mailing address
7807 15th AveKenosha, WI 53143-5913
Phone 262-656-1531 · Fax 262-654-2031
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