Organization
DR. JESSICA RANSOM AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA RANSOM (CLINICAL PSYCHOLOGIST/OWNER)
(773) 800-1510
Entity
Organization
Contact information
Practice address
4043 N RAVENSWOOD AVE, 227, CHICAGO, IL 60613-1155
(773) 800-1510
Mailing address
4043 N RAVENSWOOD AVE, 227, CHICAGO, IL 60613-1155
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007126
IL
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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