Individual
MS. ALEXIS IVY ABERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
Mailing address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010063
IL
390200000X
Student in an Organized Health Care Education/Training Program
A165-0099-0735
IL
Other
Enumeration date
09/02/2014
Last updated
07/23/2019
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