Individual
DR. NAHRAIN TAVOLACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
390 E DEVON AVE STE 201, ROSELLE, IL 60172-1763
(630) 803-3524
Mailing address
390 E. DEVON AVENUE, STE 201, ROSELLE, IL 60172
(630) 358-9821
(847) 565-4956
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010126
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071010126
IL
Other
Enumeration date
08/11/2016
Last updated
04/09/2024
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