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Organization

MAUDLIN & ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAREN LEIGH MAUDLIN PSY.D. (MANAGER)
(630) 462-3999
Entity
Organization

Contact information

Practice address
610 W ROOSEVELT RD, SUITE B-1, WHEATON, IL 60187-5087
(603) 462-3999
(630) 462-0911
Mailing address
610 W ROOSEVELT RD, SUITE B-1, WHEATON, IL 60187-5087
(603) 462-3999
(630) 462-0911

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004470
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
227-3064
BC BS PROVIDER NUMBER
IL
Enumeration date
10/23/2006
Last updated
03/13/2018
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