Individual
MS. LAURIE J MATTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
909 E PALATINE RD, PALATINE, IL 60074-5551
(847) 776-1400
(847) 776-1864
Mailing address
909 E PALATINE RD, PALATINE, IL 60074-5551
(847) 776-1400
(847) 776-1864
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-007460
IL
Other
Enumeration date
02/02/2009
Last updated
03/10/2016
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