Individual
DR. JOANNE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1900 EAST MAIN STREET, PTSD CLINIC (116A), DANVILLE, IL 61822
(217) 554-4257
(217) 554-4822
Mailing address
1900 EAST MAIN STREET, PTSD CLINIC (116A), DANVILLE, IL 61832
(217) 554-4257
(217) 554-4822
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20040950
IN
103TC1900X
Counseling Psychologist
Primary
20040950A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200177930
—
IN
Enumeration date
05/10/2006
Last updated
05/24/2016
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