Individual
RENEE A MCARDLE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4873 MANHATTAN DR, ROCKFORD, IL 61108-2265
(815) 965-1817
(815) 965-9574
Mailing address
4873 MANHATTAN DR, ROCKFORD, IL 61108-2265
(815) 965-1817
(815) 965-9574
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071005330
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364361454
TAX ID
IL
Enumeration date
11/06/2006
Last updated
12/13/2010
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