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
Phone: (630) 620-4433
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
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