Organization
MELON-GRACE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MELON PH.D. (PRESIDENT)
(630) 920-9113
Entity
Organization
Contact information
Practice address
15 SALT CREEK LN STE 401, HINSDALE, IL 60521-3072
(630) 920-9113
Mailing address
15 SALT CREEK LN STE 401, HINSDALE, IL 60521-3072
(630) 920-9113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
060007829
IL
Other
Enumeration date
02/28/2007
Last updated
10/18/2024
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