Individual
DR. KATHERINE SULLIVAN MILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1250 EXECUTIVE PL, 500 BUILDING, GENEVA, IL 60134-3807
(630) 232-7457
Mailing address
PO BOX 253, MEDINAH, IL 60157-0253
(847) 590-1814
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005292
IL
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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