Individual
DR. MOLLY ANN MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
676 N SAINT CLAIR ST STE 1310, CHICAGO, IL 60611-2923
(312) 695-9627
Mailing address
300 E SUPERIOR ST FL 8, CHICAGO, IL 60611-3010
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071010968
IL
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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