Individual
DR. PATRICIA HUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
720 LAKE ST, SUITE202, OAK PARK, IL 60301-1424
(708) 848-0660
Mailing address
720 LAKE ST, SUITE202, OAK PARK, IL 60301-1424
(708) 848-0660
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-002753
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-73036
BLUE CROSS BLUE SHIELD
IL
01
—
071-002753
PSYCHOLOGIST LICENSE
IL
Enumeration date
08/08/2006
Last updated
04/28/2008
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