Individual
DR. ANDREW BLAKE SUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
53 W JACKSON BLVD, SUITE 602, CHICAGO, IL 60604-3606
(773) 718-0364
Mailing address
4451 N PAULINA ST, APT. 3, CHICAGO, IL 60640-5348
(773) 907-0364
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
10/15/2006
Last updated
07/08/2007
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