Individual
DR. LAURA DAWN KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1448 N MILWAUKEE AVE # 205, CHICAGO, IL 60622-9225
(312) 476-9064
(630) 839-8697
Mailing address
1448 N MILWAUKEE AVE # 205, CHICAGO, IL 60622-9225
(312) 476-9064
(630) 839-8697
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008192
IL
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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