Individual
CHRISTIAN HOPE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCP
Contact information
Practice address
810 N WALL ST, CARBONDALE, IL 62901-1735
(310) 270-5878
Mailing address
124 ASHLYN CT, CARTERVILLE, IL 62918-2382
(310) 270-5878
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
071009014
IL
103TB0200X
Cognitive & Behavioral Psychologist
071009014
IL
103TC0700X
Clinical Psychologist
Primary
071009014
IL
103TC1900X
Counseling Psychologist
071009014
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071009014
IL
103TF0000X
Family Psychologist
071009014
IL
103TF0200X
Forensic Psychologist
071009014
IL
103TP2701X
Group Psychotherapy Psychologist
071009014
IL
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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