Organization
PEORIA PSYCHOLOGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE VELEZ PSY.D. (OWNER, CLINICAL PSYCHOLOGIST)
(309) 689-6700
Entity
Organization
Contact information
Practice address
5505 N FAIRMONT DR, PEORIA, IL 61614-4246
(309) 689-6700
(309) 689-0774
Mailing address
5505 N FAIRMONT DR, PEORIA, IL 61614-4246
(309) 689-6700
(309) 689-0774
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005320
IL
103TF0200X
Forensic Psychologist
14987
IL
Other
Enumeration date
02/09/2006
Last updated
04/12/2012
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