Individual
MARTHA H ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LCPC
Contact information
Practice address
292 LORRAINE CIR, BLOOMINGDALE, IL 60108-2547
(847) 630-7818
Mailing address
292 LORRAINE CIR, BLOOMINGDALE, IL 60108-2547
(847) 630-7818
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
180.005122
IL
Other
Enumeration date
08/22/2007
Last updated
09/11/2014
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