Individual
DR. KELLINE EVANS MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
201 E ARMY TRAIL RD STE 306, BLOOMINGDALE, IL 60108-2138
(630) 539-2620
Mailing address
201 E ARMY TRAIL RD STE 306, BLOOMINGDALE, IL 60108-2138
(630) 539-2620
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071.005973
IL
103T00000X
Psychologist
Primary
071.005973
IL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
071.005973
IL
103TF0200X
Forensic Psychologist
071.005973
IL
Other
Enumeration date
04/29/2010
Last updated
01/17/2013
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