Individual
DR. JUDITH A. IVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
228 E NORTHWEST HWY, PALATINE, IL 60067-8107
(847) 526-7461
(847) 526-7461
Mailing address
3625 EASTWAY DR, ISLAND LAKE, IL 60042-9451
(847) 526-7461
(847) 526-7461
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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