Organization
CARRIE SPITALLI, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE LYNN SPITALLI PSY.D. (PRESIDENT)
(815) 933-7887
Entity
Organization
Contact information
Practice address
110 MOONEY DR STE 1, BOURBONNAIS, IL 60914-2172
(815) 933-7887
Mailing address
110 MOONEY DR STE 1, BOURBONNAIS, IL 60914-2172
(815) 933-7887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005739
IL
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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