Individual
SUSAN CHRISTINE VALESSARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3 SQUIRE LN, ST CHARLES, IL 60174-1413
(630) 881-7601
(630) 513-6839
Mailing address
3 SQUIRE LN, ST CHARLES, IL 60174-1413
(630) 881-7601
(630) 513-6839
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071-006810
IL
103TA0700X
Adult Development & Aging Psychologist
071-006810
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071-006810
IL
Other
Enumeration date
04/06/2007
Last updated
07/15/2008
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