Individual
MARIE NEBEL-SCHWALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
103 N REGENCY DR, BLOOMINGTON, IL 61701-3570
(309) 661-8046
Mailing address
103 N REGENCY DR, BLOOMINGTON, IL 61701-3570
(309) 661-8046
(309) 661-8093
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071009087
IL
Other
Enumeration date
02/28/2016
Last updated
02/28/2016
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