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Organization

ILLINOIS STATE UNIVERSITY

Active
Other names
Psychological Services Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENDA JANE HUBER PH.D. (CLINICAL PSYCHOLOGIST)
(309) 438-5629
Entity
Organization

Contact information

Practice address
408 FAIRCHILD HALL, CAMPUS BOX 4625, NORMAL, IL 61790
(309) 438-5629
(309) 438-7476
Mailing address
408 FAIRCHILD HALL, CAMPUS BOX 4625, NORMAL, IL 61790
(309) 438-5629
(309) 438-7476

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IL

Other

Enumeration date
03/09/2007
Last updated
08/22/2020
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