Individual
DR. TIMOTHY JAMES WAHLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
65 N RIVER LN, SUITE 204, GENEVA, IL 60134-4519
(630) 845-9644
(630) 845-9678
Mailing address
422 HANCOCK AVE, SOUTH ELGIN, IL 60177-3269
(847) 622-1509
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
IL
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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