Individual
PATRICIA M FAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
1001 OGDEN AVE, LL5, DOWNERS GROVE, IL 60515-2865
(630) 968-1181
(630) 322-9977
Mailing address
1001 OGDEN AVE, LL5, DOWNERS GROVE, IL 60515-2865
(630) 968-1181
(630) 322-9977
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071004677
IL
Other
Enumeration date
02/09/2006
Last updated
12/05/2014
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