Individual
COLLEEN MARIE COSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2500 W FABYAN PKWY, BATAVIA, IL 60510-1572
(630) 879-2110
(630) 762-4727
Mailing address
28594 NETWORK PL, CHICAGO, IL 60673-7103
(630) 859-6800
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071.010581
IL
103TC0700X
Clinical Psychologist
Primary
071.010581
IL
Other
Enumeration date
04/08/2019
Last updated
04/24/2023
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