Dr. Kelline Evans Mathews
Psychologist Clinical Psychologist Forensic Psychologist Addiction Psychologist (Substance Use Disorder)
201 E Army Trail Rd Ste 306
Bloomingdale
, Illinois 60108-2138
Dr. Kelline Evans Mathews
Psychologist Clinical Psychologist Forensic Psychologist Addiction Psychologist (Substance Use Disorder)
201 E Army Trail Rd Ste 306
Bloomingdale
, Illinois 60108-2138
(630) 539-2620
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About
Features
Specialties
- Clinical Psychologist
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Forensic Psychologist
Languages spoken
- English
Location
First Address
- Dr. Kelline Evans Mathews
- 201 E Army Trail Rd Ste 306
- Bloomingdale, IL
- Zip : 60108-2138
- Phone : (630) 539-2620
Second Address
- Dr. Kelline Evans Mathews
- 201 E Army Trail Rd Ste 306
- Bloomingdale, IL
- Zip : 60108-2138
- Phone : (630) 539-2620
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 071.005973 | IL |
| N | 103TC0700X | Clinical Psychologist | 071.005973 | IL |
| Y | 102L00000X | Psychologist | 071.005973 | IL |
| Y | 103T00000X | Psychologist | 071.005973 | IL |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 071.005973 | IL |
| N | 103TF0200X | Forensic Psychologist | 071.005973 | IL |
National Provider Identifier
| NPI | 1154648160 |
|---|---|
| Provider Name | Dr. Kelline Evans Mathews |
| First Address | Bloomingdale, IL 60108-2138 |
| Second Address | Bloomingdale, IL 60108-2138 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/04/2010 |
| Last Update Date | 17/01/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.