Individual
NICOLE LADERBERG BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4801 W PETERSON AVE STE 601, CHICAGO, IL 60646-5728
(847) 440-2148
(773) 347-2656
Mailing address
4801 W PETERSON AVE STE 601, CHICAGO, IL 60646-5728
(847) 440-2148
(773) 347-2656
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009500
IL
Other
Enumeration date
07/13/2017
Last updated
06/08/2023
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