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Individual

DR. NICOLE DE LA LUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
814 W NORTH ST, HINSDALE, IL 60521-3046
(773) 340-3663
Mailing address
814 W NORTH ST, HINSDALE, IL 60521-3046
(773) 340-3663

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009151
IL
103TC0700X
Clinical Psychologist
PY9150
FL

Other

Enumeration date
09/30/2014
Last updated
10/07/2015
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