Individual
RENE PICHLER-MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD., HSPP
Contact information
Practice address
5000 S. 5TH AVE (PSYCHOLOGY 116B), HINES, IL 60141-5000
(708) 202-8387
Mailing address
5000 S. 5TH AVE (PSYCHOLOGY 116B), HINES, IL 60141-5000
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042102A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494543
ANTHEM BCBS
IN
Enumeration date
09/17/2006
Last updated
12/11/2007
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