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Individual

DR. MARTHA J BOCKIAN

Active
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Individual

DR. MARTHA J BOCKIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071006780
IL
103TB0200X
Cognitive & Behavioral Psychologist
071006780
IL
103TC0700X
Clinical Psychologist
071006780
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071006780
IL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
071006780
IL

Other

Enumeration date
04/30/2013
Last updated
04/30/2013
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