Individual
KELLY COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
69 W WASHINGTON ST STE 1000, CHICAGO, IL 60602-3041
(248) 765-7127
Mailing address
69 W WASHINGTON ST STE 1000, CHICAGO, IL 60602-3041
(248) 765-7127
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007792
IL
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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