Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4043 N RAVENSWOOD AVE STE 302, CHICAGO, IL 60613-5683
(630) 715-5519
Mailing address
3426 BORGER ST, DALLAS, TX 75212-2723
(630) 715-5519
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010260
IL
Other
Enumeration date
02/13/2018
Last updated
08/22/2024
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