Individual
DR. DIVYA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2150 E LAKE COOK RD FL 9, BUFFALO GROVE, IL 60089-1862
(630) 828-6867
(630) 293-5814
Mailing address
2063 OLIVE HILL DR, BUFFALO GROVE, IL 60089-4644
(630) 828-6867
(630) 293-5814
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
071010532
IL
103TC1900X
Counseling Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
04/26/2021
Last updated
01/24/2025
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