Organization
EVIDENCE BASED THERAPY CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA L SCHNEIDER PSY.D. (EXECUTIVE DIRECTOR)
(312) 339-1314
Entity
Organization
Contact information
Practice address
445 W ARLINGTON PL APT 1W, CHICAGO, IL 60614-2779
(312) 339-1314
Mailing address
5334 N KEDZIE AVE, CHICAGO, IL 60625-4741
(312) 339-1314
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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