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Individual

BECKY L ROSENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCSP

Contact information

Practice address
130 N HAZELTON AVE, WHEATON, IL 60187-4550
(630) 682-2019
Mailing address
130 N HAZELTON AVE, WHEATON, IL 60187-4550
(630) 682-2019

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
555735
IL

Other

Enumeration date
04/24/2019
Last updated
04/24/2019
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