Individual
MARY E HALPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
420 LAKE COOK RD, SUITE 109, DEERFIELD, IL 60015-5646
(847) 317-1133
Mailing address
PO BOX 387, ADDISON, IL 60101-0387
(847) 317-1133
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1673286
BCBS PROVIDER NUMBER
IL
Enumeration date
09/14/2006
Last updated
07/08/2007
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