Individual
MS. MARY LYNN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.C.B.A.
Contact information
Practice address
1861 HAWTHORNE, WESTCHESTER, IL 60154
(708) 768-1333
Mailing address
1861 HAWTHORNE AVE, WESTCHESTER, IL 60154-4358
(708) 768-1333
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
IL
Other
Enumeration date
09/24/2007
Last updated
05/15/2013
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