Individual
DR. KAREN LEIGH MAUDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., CPPC
Contact information
Practice address
610 W ROOSEVELT RD STE B1, WHEATON, IL 60187-2303
(630) 462-3999
Mailing address
610 W ROOSEVELT RD STE B1, WHEATON, IL 60187-2303
(630) 462-3999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227-3064
BC/BS PROVIDER
IL
Enumeration date
03/15/2007
Last updated
09/05/2007
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