Individual
DR. SCOTT WALTER MAIERITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5TH & ROOSEVELT RD, HINES, IL 60141-5000
(708) 202-8387
Mailing address
PO BOX 5000, HINES, IL 60141-5000
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.006914
IL
Other
Enumeration date
10/04/2006
Last updated
02/26/2013
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