Individual
DR. TAYLOR PATRICE DORLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, BCBA, NCSP
Contact information
Practice address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 318-9330
(847) 723-9470
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-23-66618
—
103TC0700X
Clinical Psychologist
Primary
071.011202
IL
103TS0200X
School Psychologist
65630
—
Other
Enumeration date
07/15/2015
Last updated
05/05/2025
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