Hallett, Marybeth

Hallett, Marybeth is an sole proprietor health care provider with primary practice located at 404 W Green St , Urbana IL 61801-3267. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hallett, Marybeth can be contacted via phone (217) 649-3939.

Contact Information

Primary practice address
404 W Green St Urbana IL 61801-3267
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071005171 Illinois

Profile Details

NPI number 1295185098
LBN Legal business name Hallett, Marybeth
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2016
Last updated Jun 13th, 2016 - about 9 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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