Individual
BETH OSTLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. S., NCSP
Contact information
Practice address
403 ORCHARD ST, FOX RIVER GROVE, IL 60021-1145
(320) 226-2269
Mailing address
1457 W LELAND AVE APT 2E, CHICAGO, IL 60640-7002
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2382047
IL
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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