Individual
JANINE GAUTHIER MULLADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3633 W LAKE AVE, SUITE 404, GLENVIEW, IL 60026-5805
(312) 285-4729
Mailing address
1599 W OLD MILL RD, LAKE FOREST, IL 60045-3721
(312) 285-4729
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006689
IL
Other
Enumeration date
04/13/2007
Last updated
08/07/2019
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