Individual
DR. ANDREA MOSQUEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4217 W 59TH ST, CHICAGO, IL 60629
(773) 340-1321
Mailing address
4217 W 59TH ST, CHICAGO, IL 60629-4944
(773) 340-1321
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010614
IL
Other
Enumeration date
07/23/2018
Last updated
09/27/2021
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