Individual
DR. DATHAN A. PATERNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
36 MAIN ST, SUITE 106, PARK RIDGE, IL 60068-4059
(847) 692-6692
(847) 692-6685
Mailing address
36 MAIN ST, SUITE 106, PARK RIDGE, IL 60068-4059
(847) 692-6692
(847) 692-6685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.006986
IL
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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