Dr. Mary Elizabeth Avellone, Ph.D.
Psychologist, Clinical in Homewood, IL. Individual provider (NPI-1).
NPI number1699770693
StatusActive
Last updated in NPPESMar 16, 2026
Details
- NPI
- 1699770693
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Elizabeth Avellone
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2005
- Certification date
- Mar 16, 2026
- Last updated
- Mar 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071005023 | IL | Yes |
| 103G00000X | Clinical Neuropsychologist | 071005023 | IL |
Practice location
2024 Hickory Rd Ste 104Homewood, IL 60430-2158
Phone 312-832-9858 · Fax 312-822-0712
Mailing address
211 E Ohio St Apt 520Chicago, IL 60611-3220
Phone 312-832-9858 · Fax 708-365-6224
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