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Organization

DR. ANN DOURLET MOTT, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANN DOURLET MOTT PSY.D (PRESIDENT/OWNER/PSYCHOLOGIST)
(847) 604-4140
Entity
Organization

Contact information

Practice address
800 E NORTHWEST HWY STE 407, PALATINE, IL 60074-6519
(847) 604-4140
Mailing address
800 E NORTHWEST HWY STE 407, PALATINE, IL 60074-6519
(847) 604-4140

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004004
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013016161
INDIVIDUAL NPI
IL
Enumeration date
10/10/2008
Last updated
10/10/2008
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