Individual
DR. KAVITA K AJMERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
233 E ERIE ST, CHICAGO, IL 60611-2926
(314) 750-3699
Mailing address
233 E ERIE ST, CHICAGO, IL 60611-2926
(314) 750-3699
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.007003
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071.007003
IL
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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