Individual
DR. HOLLY CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
139 PINE SHORE DR, 37, CARBONDALE, IL 62902-7503
(618) 303-9610
Mailing address
139 PINE SHORE DR, CARBONDALE, IL 62902-7503
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006997
IL
Other
Enumeration date
09/10/2008
Last updated
07/30/2014
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