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Individual

DR. JEFFERY GARRISON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
1101 W WELLINGTON AVE STE 210, CHICAGO, IL 60657-6774
(312) 384-1940
(773) 423-8444
Mailing address
1011 W WELLINGTON AVE STE 210, CHICAGO, IL 60657-7187
(312) 384-1940
(773) 423-8444

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071011457
IL
103T00000X
Psychologist
071011457
IL
103TC0700X
Clinical Psychologist
Primary
071011457
IL
103TF0200X
Forensic Psychologist
071011457
IL

Other

Enumeration date
03/29/2023
Last updated
05/12/2026
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