Individual
CHRISTINE MARY DEYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3716 W BRIGHTON AVE, PEORIA, IL 61615-2938
(309) 692-7755
Mailing address
1840 N DRAKE AVE, CHICAGO, IL 60647-4821
(585) 773-8550
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010309
IL
Other
Enumeration date
09/24/2019
Last updated
12/18/2020
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