Dellorto, Mary K

Dellorto, Mary K is an sole proprietor health care provider with primary practice located at 2412 E Washington St Suite 3, Bloomington IL 61704-4497. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dellorto, Mary K can be contacted via phone (309) 664-6952.

Contact Information

Primary practice address
2412 E Washington St Suite 3 Bloomington IL 61704-4497
Phone: (309) 664-6952
Fax: (309) 664-7522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071004397 Illinois

Profile Details

NPI number 1669431912
LBN Legal business name Dellorto, Mary K
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Jan 10th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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