Individual
DR. MICHELLE SUSAN WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 E ERIE ST STE 355, CHICAGO, IL 60611-2772
(773) 343-5497
Mailing address
3351 N SEMINARY AVE APT 2S, CHICAGO, IL 60657-2289
(773) 343-5497
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007505
IL
Other
Enumeration date
08/12/2008
Last updated
08/06/2009
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