Individual
DR. MARLENE GRACE RIVERA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1660 FEEHANVILLE DR, MT PROSPECT, IL 60056-6019
(847) 981-9200
Mailing address
1660 FEEHANVILLE DR, MT PROSPECT, IL 60056-6019
(847) 981-9200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071011201
IL
Other
Enumeration date
04/15/2024
Last updated
04/25/2024
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