Individual
DR. PATRICIA ANN LAVALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1017 CENTRAL AVE, WILMETTE, IL 60091-2609
(847) 251-1281
Mailing address
1017 CENTRAL AVE, WILMETTE, IL 60091-2609
(847) 251-1281
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.003826
IL
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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