Individual
DR. CHRISTINA WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LCP
Contact information
Practice address
7317 N WILLOW LAKE CT, PEORIA, IL 61614-8227
(309) 683-7373
Mailing address
PO BOX 692, MINIER, IL 61759-0692
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071011222
IL
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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