Individual
DR. MELISSA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1400 STATE ST, OTTAWA, IL 61350-4735
(815) 252-1824
Mailing address
222 FOREST PARK PL, OTTAWA, IL 61350-1124
(815) 252-1824
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009784
IL
Other
Enumeration date
07/08/2018
Last updated
10/18/2020
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