Individual
DR. GAYLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
844 HILLSIDE AVE, GLEN ELLYN, IL 60137-4782
(708) 217-4476
Mailing address
844 HILLSIDE AVE, GLEN ELLYN, IL 60137-4782
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2010199
IL
103TS0200X
School Psychologist
210112629
CA
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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