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1801960125
PETER WALTER DEMUTH
EVANSTON, IL
NPI
1801960125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071004516)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Dr. PETER WALTER DEMUTH PsyD
717 MAIN ST 2ND FLOOR EAST
EVANSTON, IL 60202
Phone number: 847-424-9304
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Mailing Address
Dr. PETER WALTER DEMUTH PsyD
476 SHERIDAN ROAD #2
EVANSTON, IL 60202
Phone number: 847-424-9304
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