Individual
DR. ALVIN E. HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
901 E GROVE ST, SUITE F, BLOOMINGTON, IL 61701-4200
(309) 826-3633
Mailing address
106 SUELYNN DR, NORMAL, IL 61761-1338
(309) 452-7312
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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