Gonzalez Davila, Martha Citlaly

Gonzalez Davila, Martha Citlaly is an sole proprietor health care provider with primary practice located at 830 S Addison Ave , Villa Park IL 60181-2877. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gonzalez Davila, Martha Citlaly can be contacted via phone (630) 620-4433.

Contact Information

Primary practice address
830 S Addison Ave Villa Park IL 60181-2877
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071009969 Illinois

Profile Details

NPI number 1487225389
LBN Legal business name Gonzalez Davila, Martha Citlaly
Credentials PSY D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2021
Last updated Jul 2nd, 2021 - about 3 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.

Request for update

Popular Providers