DR. Mary Alice Povolny, PHD

NPI #1205895430 in Elmhurst, Illinois

Provider Information

NPI Number: 1205895430
Entity Type: Individual
Name: DR. Mary Alice Povolny, PHD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Mar 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 331 N YORK RD
Address 2: SUITE B1
City: Elmhurst
State: Illinois
ZIP Code: 60126
Phone: (630) 415-0780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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