Individual
MADELEINE Y GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
922 DAVIS ST, EVANSTON, IL 60201-3605
(847) 864-4961
Mailing address
922 DAVIS ST, EVANSTON, IL 60201-3605
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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