Individual
DR. PRISCILLA T DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
15030 S RAVINIA AVE, SUITE 30, ORLAND PARK, IL 60462-3256
(708) 590-6833
(708) 590-6804
Mailing address
15030 S RAVINIA AVE, SUITE 30, ORLAND PARK, IL 60462-3256
(708) 590-6833
(708) 590-6804
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-007575
IL
103TC0700X
Clinical Psychologist
20042280A
IN
Other
Enumeration date
10/29/2009
Last updated
11/04/2009
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