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Individual
DR. JASON J. WASHBURN
Active
Individual
DR. JASON J. WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071006568
IL
103T00000X
Psychologist
071006568
IL
103TB0200X
Cognitive & Behavioral Psychologist
071006568
IL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071006568
IL
Other
Enumeration date
04/18/2007
Last updated
07/09/2011
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