Organization
JODI M FOURT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI FOURT PSYD (SOLE PROPRIETOR/PSYD)
(224) 703-5595
Entity
Organization
Contact information
Practice address
1530 N RANDALL RD STE 220, ELGIN, IL 60123-7879
(224) 703-5595
Mailing address
13 CROSSVIEW CT, LAKE IN THE HILLS, IL 60156-5841
(224) 703-5595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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