Individual
DR. MARY K DELLORTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2412 E WASHINGTON ST, SUITE 3, BLOOMINGTON, IL 61704-4497
(309) 664-6952
(309) 664-7522
Mailing address
2412 E WASHINGTON ST, SUITE 3, BLOOMINGTON, IL 61704-4497
(309) 664-6952
(309) 664-7522
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004397
IL
Other
Enumeration date
03/23/2006
Last updated
01/10/2011
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