Individual
DR. MICHELLE DIANE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1871 N CLYBOURN AVE, SUITE 224, CHICAGO, IL 60614-4947
(773) 913-2029
(847) 635-1764
Mailing address
6727 S OGLESBY AVE, # C1, CHICAGO, IL 60649-1315
(773) 913-2029
(847) 635-1764
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071-005919
IL
103TC0700X
Clinical Psychologist
Primary
071-005919
IL
103TP2701X
Group Psychotherapy Psychologist
071-005919
IL
Other
Enumeration date
08/12/2009
Last updated
08/14/2009
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