Individual
DIVYA MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 E OHIO ST APT 18F, CHICAGO, IL 60611-3359
(949) 533-5501
Mailing address
420 E OHIO ST APT 18F, CHICAGO, IL 60611-3359
(949) 533-5501
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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