Doctor Name: | MRS. MARILYN KAY MAUL |
NPI Number: | 1891858973 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT LCPC |
License Number: | |
Business Practice Address: | 210 W 22nd St Ste 120 Oakbrook, IL - 60523 |
Business Phone Number: | 6305721535 |
Business Fax Number: | 6305729974 |
Mailing Address: | 210 W 22nd St, Ste 120 OAKBROOK |
State: | IL |
Postal Code: | 60523 |
Phone Number: | 6305721535 |
Fax Number: | 6305729974 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |