Individual
DR. MARICELA ESCAMILLA MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
520 E KENDALL DR UNIT A, YORKVILLE, IL 60560-1956
(630) 385-2784
(630) 553-0550
Mailing address
PO BOX 458, YORKVILLE, IL 60560-0458
(630) 385-2784
(630) 553-0550
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008795
IL
Other
Enumeration date
03/31/2014
Last updated
07/21/2022
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