Individual
DR. JASON SORIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
3784 FOX POINTE, ROCKFORD, IL 61114-7078
(608) 215-1110
(815) 395-0671
Mailing address
3784 FOX POINTE, ROCKFORD, IL 61114-7078
(608) 215-1110
(815) 395-0671
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009069
IL
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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