Brian Timothy Madvig

NPI #1285641472 in Wheaton, Illinois

Provider Information

NPI Number
1285641472
Entity Type
Organization
Organization Name
Brian Timothy Madvig
Primary Specialty
Psychologist - Clinical
Enumeration Date
Aug 1, 2006
Last Updated
Jun 17, 2008

Practice Location

Address
1725 S NAPERVILLE RD
Address 2
SUITE 207
ZIP Code
60187-8155
Phone
(630) 462-7005

Authorized Official

Name
BRIAN T. MADVIG, PH.D.
Title
OWNER
Phone
(630) 462-7005

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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