TIMOTHY JAMES WAHLBERG

GENEVA, IL
NPI1619195997
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: IL  071006627)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
Dr. TIMOTHY JAMES WAHLBERG Ph.D.
65 N RIVER LN SUITE 204
GENEVA, IL 60134-4519
Phone number: 630-845-9644
Mailing Address
Dr. TIMOTHY JAMES WAHLBERG Ph.D.
422 HANCOCK AVE
SOUTH ELGIN, IL 60177-3269
Phone number: 847-622-1509