Organization
JENNIFER BOOTH PSYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L CORLEY PSYD (LICENSED PSYCHOLOGIST)
(224) 636-4942
Entity
Organization
Contact information
Practice address
1409 W IRVING PARK RD, CHICAGO, IL 60613-1920
(224) 636-4942
Mailing address
1929 W HENDERSON ST REAR, CHICAGO, IL 60657-6666
(224) 636-4942
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
06/07/2023
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