Bogdanov, Jacquelyn

Bogdanov, Jacquelyn is an individual health care provider with primary practice located at 16535 W Bluemound Rd Ste 200 , Brookfield WI 53005-5906. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bogdanov, Jacquelyn can be contacted via phone (262) 789-1191.

Contact Information

Primary practice address
16535 W Bluemound Rd Ste 200 Brookfield WI 53005-5906
Phone: (262) 789-1191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6743-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3661-57 Wisconsin

Profile Details

NPI number 1194230599
LBN Legal business name Bogdanov, Jacquelyn
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2017
Last updated Feb 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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