Individual
DR. CASEY SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
222 MERCHANDISE MART PLZ, OFFICE 4025, CHICAGO, IL 60654-1103
(312) 329-6609
Mailing address
3057 N CLYBOURN AVE APT 3S, CHICAGO, IL 60618-8328
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008189
IL
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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