Individual
MRS. AMY BETH WOLOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
950 LEE ST, 212, DES PLAINES, IL 60016-6532
(847) 486-4140
(847) 486-4145
Mailing address
950 LEE ST, 212, DES PLAINES, IL 60016-6532
(847) 486-4140
(847) 486-4145
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071008721
IL
103TC0700X
Clinical Psychologist
Primary
071008721
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071008721
IL
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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