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1194857151
ASHLEY HOWARD BEITEL
CHAMPAIGN, IL
NPI
1194857151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071-004214)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
-- ASHLEY HOWARD BEITEL Ph.D.
701 DEVONSHIRE DR STE 207
CHAMPAIGN, IL 61820-7337
Phone number: 217-352-9206
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Mailing Address
-- ASHLEY HOWARD BEITEL Ph.D.
2804 ROBESON PARK DR
CHAMPAIGN, IL 61822-7600
Phone number: 217-352-3591
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