Individual
JENNIFER LYNN PELLICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
207 E CHURCH ST, SUITE A, SANDWICH, IL 60548-9803
(815) 786-8606
(815) 786-1541
Mailing address
1120 E MAIN ST, SUITE 201, ST CHARLES, IL 60174-2287
(630) 377-6613
(630) 377-6225
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008942
IL
Other
Enumeration date
01/08/2015
Last updated
03/13/2017
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