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Individual
CHAD THOMAS OBERHAUSEN
Active
Individual
CHAD THOMAS OBERHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071.007273
IL
103T00000X
Psychologist
Primary
PY 7475
FL
Other
Enumeration date
06/24/2010
Last updated
03/11/2019
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