Individual
MS. HAYLEY BETH VAN SERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009491
IL
1041C0700X
Clinical Social Worker
7455-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071009491
—
IL
Enumeration date
10/09/2008
Last updated
09/08/2022
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