Individual
DR. BRENT SYLVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
403 W VIRGINIA AVE, NORMAL, IL 61761-3666
(309) 268-2910
Mailing address
403 W VIRGINIA AVE, NORMAL, IL 61761-3666
(309) 268-2910
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007808
IL
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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