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Individual

GRACIELA VIALE-VAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
836 CHURCH, EVANSTON, IL 60201
(847) 602-1147
Mailing address
1641 HINMAN AVE, EVANSTON, IL 60201-6041
(847) 864-9514
(847) 556-6069

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
IL
103TF0200X
Forensic Psychologist
Primary
IL

Other

Enumeration date
09/21/2006
Last updated
10/27/2007
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