Individual
DR. M DENISE FRASER VASELAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12627 W 143RD ST, HOMER GLEN, IL 60491-8381
(708) 645-0798
(708) 645-0841
Mailing address
12627 W 143RD ST, HOMER GLEN, IL 60491-8381
(708) 645-0798
(708) 645-0841
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
02/16/2008
Last updated
02/16/2008
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