Organization
PSYCHOLOGY PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY T EBEID PSYD (PRESIDENT)
(708) 268-4159
Entity
Organization
Contact information
Practice address
9010 RESERVE DR, WILLOW SPRINGS, IL 60480-1183
(708) 268-4159
(630) 455-0553
Mailing address
9010 RESERVE DR, WILLOW SPRINGS, IL 60480-1183
(708) 268-4159
(630) 455-0553
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007039
IL
Other
Enumeration date
10/23/2006
Last updated
11/18/2016
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