Individual
DR. JESSICA RANSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D. MSCP
Contact information
Practice address
4809 N RAVENSWOOD AVE UNIT 320, CHICAGO, IL 60640-4417
(773) 800-1510
Mailing address
4809 N RAVENSWOOD AVE UNIT 320, CHICAGO, IL 60640-4417
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071007126
IL
103TP0016X
Prescribing (Medical) Psychologist
Primary
074000004
IL
Other
Enumeration date
10/19/2012
Last updated
10/27/2020
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