Individual
MICHAEL KNOBELOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
102 W KENWOOD AVE, SUITE 120A, DECATUR, IL 62526-4368
(309) 706-3190
(309) 588-4115
Mailing address
PO BOX 604, BLOOMINGTON, IL 61702-0604
(309) 706-3190
(309) 588-4115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
071009106
IL
Other
Enumeration date
04/16/2014
Last updated
01/25/2016
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