Individual
DR. NANCY GOODRICH MITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
907 W MARKETVIEW DR STE 10226, CHAMPAIGN, IL 61822-1227
(217) 666-7044
Mailing address
907 W MARKETVIEW DR STE 10226, CHAMPAIGN, IL 61822-1227
(217) 666-7044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010734
IL
Other
Enumeration date
05/02/2022
Last updated
12/09/2022
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