Individual
DR. PATRICIA ANNE WASISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
447 N 3RD AVE, VILLA PARK, IL 60181-1449
(630) 359-4879
Mailing address
447 N 3RD AVE, VILLA PARK, IL 60181-1449
(630) 359-4879
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005220
IL
Other
Enumeration date
02/23/2008
Last updated
02/23/2008
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