Individual
BRENDA LAGUNAS WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
1725 S NAPERVILLE RD STE 110, WHEATON, IL 60189-5855
(630) 509-4911
Mailing address
1725 S NAPERVILLE RD STE 110, WHEATON, IL 60189-5855
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.010338
IL
Other
Enumeration date
06/08/2016
Last updated
03/24/2022
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