Individual
DR. AMANDA MARIE URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5TH AVE. AND ROOSEVELT, HINES, IL 60141
(708) 202-2682
(708) 202-2687
Mailing address
5000 S. ROOSEVELT ROAD, HINES, IL 60141-9135
(708) 202-2682
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71007034
IL
Other
Enumeration date
10/17/2006
Last updated
06/26/2015
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