Individual
DR. MICHELLE BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1120 E MAIN ST, SUITE 101, SAINT CHARLES, IL 60174-2287
(630) 377-6613
(630) 377-6225
Mailing address
1120 E MAIN ST, SUITE 101, SAINT CHARLES, IL 60174-2287
(630) 377-6613
(637) 377-6225
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007830
IL
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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