DR. Becky Kalvelage-Roth, PSYD

NPI #1427599752 in Bradley, Illinois

Provider Information

NPI Number: 1427599752
Entity Type: Individual
Name: DR. Becky Kalvelage-Roth, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Mar 20, 2017
Last Updated: Mar 20, 2017

Practice Location

Address: 525 E NORTH ST
Address 2: SUITE B
City: Bradley
State: Illinois
ZIP Code: 60915-1185
Phone: (815) 933-0667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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