Individual
TED CRAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
55 E LOOP RD, WHEATON, IL 60189-1938
(630) 428-7890
Mailing address
2948 ARTESIAN RD STE 112, NAPERVILLE, IL 60564-8559
(630) 428-7890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006105
IL
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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