Individual
DR. SANDRA MARIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. DL
Contact information
Practice address
936 NEWBERRY AVE, LA GRANGE PARK, IL 60526-1658
(708) 408-2114
(708) 579-5513
Mailing address
936 NEWBERRY AVE, LA GRANGE PARK, IL 60526-1658
(708) 408-2114
(708) 579-5513
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.0005724
IL
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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