Individual
DR. THERESE A STASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4351
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4351
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.005074
IL
Other
Enumeration date
05/11/2008
Last updated
10/06/2015
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