Individual
CLAIRE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7900 CASS AVE, DARIEN, IL 60561-5073
(630) 428-7890
Mailing address
4865 N HERMITAGE AVE APT 3W, CHICAGO, IL 60640-4138
(708) 606-3148
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010379
IL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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