Individual
DIANE F MITTELHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
335 N RIVER ST STE 210, BATAVIA, IL 60510-2386
(630) 879-8164
(630) 879-6806
Mailing address
335 N RIVER ST STE 210, BATAVIA, IL 60510-2386
(630) 879-8164
(630) 879-6806
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004901
IL
Other
Enumeration date
12/11/2006
Last updated
07/19/2023
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