Request Listing Update

Name:

Company:

Address 1:

Address 2:

Box:

City:

Zip:

Phone:

Toll Free Phone:

Fax:

Website URL:

Cell:

Email Address:

Twitter:

Title:

AMA Member:N/AYesNo

Gender:N/AMaleFemale

National Provider Identifier (NPI):

License Number:

License State:

Medical School:
University of Minnesota Medical School

Residency Training:
University of Wisconsin-Madison

Graduation Year:

Certifications:

Languages Spoken:

• Spanish
• French
• Hindi
• Portuguese
• Korean
• Chinese
• Italian
• Japanese
• Dutch
• Russian
• German

Specialties:

• Psychoanalysis
• Addiction Psychiatry
• Neurodevelopmental Disabilities (Psychiatry)
• Psychiatry
• Forensic Psychiatry
• Child & Adolescent Psychiatry
• Psychosomatic Medicine
• Geriatric Psychiatry

Additional Listing Information:

<table class="boldSmall"> <tbody> <tr> <td>AMA Member:</td> <td>Yes</td> </tr> <tr> <td>Gender:</td> <td>Female</td> </tr> <tr> <td>National Provider Identifier (NPI):</td> <td>1801846977</td> </tr> <tr> <td>License Number:</td> <td>49497</td> </tr> <tr> <td>License State:</td> <td>WI</td> </tr> </tbody> </table>

cancel

Please allow 1-2 days for your update request to be handled by one of our staff members.