| Doctor Name: | DR. ANN DOURLET MOTT |
| NPI Number: | 1013016161 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 071004004 |
| Business Practice Address: | 800 E Northwest Hwy Suite 407 Palatine, IL - 60074 |
| Business Phone Number: | 8476044140 |
| Business Fax Number: | |
| Mailing Address: | 800 E Northwest Hwy, Suite 407 PALATINE |
| State: | IL |
| Postal Code: | 60074 |
| Phone Number: | 8476044140 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 08/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071004004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |