Organization
JENNIFER C. PANNING PSYD PC
Active
Other names
Mindful Psychology Associates, Mindful Psychology Associates PC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER C. PANNING PSYD (PRESIDENT)
(847) 864-0600
Entity
Organization
Contact information
Practice address
636 CHURCH ST., STE. 510, EVANSTON, IL 60201-4508
(847) 864-0600
(847) 859-6996
Mailing address
636 CHURCH ST STE 520, EVANSTON, IL 60201-4581
(847) 864-0600
(847) 859-6996
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
71-006778
IL
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
04/06/2022
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