Individual
DR. MARGOT GAY MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1555 NAPERVILLE-WHEATON RD SUITE 113, NAPERVILLE, IL 60563
(312) 719-1360
Mailing address
1555 NAPERVILLE-WHEATON RD SUITE 113, NAPERVILLE, IL 60563
(312) 719-1360
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-0066277
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002232048
BLUE CROSS BLUESHIELD PPO
IL
Enumeration date
10/04/2006
Last updated
07/08/2007
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