Organization
PROTEAN ARCHETYPES LLC
Active
Other names
Protean Archetypes LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY HOLLAND PSY.D. (LICENSED CLINICAL PSYCHOLOGIST/OWNE)
(630) 632-5069
Entity
Organization
Contact information
Practice address
29 S WEBSTER ST STE 290D, NAPERVILLE, IL 60540-5356
(630) 632-5069
Mailing address
8928 MIDDLETON RD, DARIEN, IL 60561-8441
(630) 632-5069
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
04/30/2024
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