Individual
MONA SUE WEISSMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
737 CLINTON PL, EVANSTON, IL 60201-1765
(847) 864-8987
Mailing address
737 CLINTON PL, EVANSTON, IL 60201-1765
(847) 864-8987
(847) 864-8987
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4165
MA
Other
Enumeration date
05/19/2018
Last updated
05/19/2018
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