Individual
DR. DARRYL L PURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071-002872
IL
103TC0700X
Clinical Psychologist
Primary
071-002872
IL
103TP2701X
Group Psychotherapy Psychologist
071-002872
IL
Other
Enumeration date
08/16/2005
Last updated
01/19/2015
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