Individual
DR. MARYBETH HALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
404 W GREEN ST, URBANA, IL 61801-3267
(217) 649-3939
Mailing address
404 W GREEN ST, URBANA, IL 61801-3267
(217) 649-3939
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005171
IL
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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