Individual
MARREA A. WINNEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1747 W ROOSEVELT RD, ROOM 155, M/C 747, CHICAGO, IL 60608-1264
(312) 996-0357
(312) 355-3634
Mailing address
1747 W ROOSEVELT RD, ROOM 155, M/C 747, CHICAGO, IL 60608-1264
(312) 996-0357
(312) 355-3634
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1118506
IL
103TC0700X
Clinical Psychologist
Primary
071004663
IL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
071004663
IL
2084P0804X
Child & Adolescent Psychiatry Physician
071004663
IL
Other
Enumeration date
09/20/2006
Last updated
06/24/2011
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