| Doctor Name: | CHARIE MOTLEY |
| NPI Number: | 1235391814 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 071.007473 |
| Business Practice Address: | 1300 E Irving Park Rd Streamwood, IL - 601073204 |
| Business Phone Number: | 6308379000 |
| Business Fax Number: | 6308372710 |
| Mailing Address: | 1041 Nerge Rd, Apt. 212 ELK GROVE VILLAGE |
| State: | IL |
| Postal Code: | 600073270 |
| Phone Number: | 7733680682 |
| Fax Number: | 8473523006 |
| NPI Enumeration Date: | 06/25/2008 |
| NPI Last Update Date: | 06/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071.007473 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |