Individual
DR. JOAN RAE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7717 N ORANGE PRAIRIE RD, PEORIA, IL 61615-9323
(309) 589-6800
Mailing address
815 W MOSS AVE, PEORIA, IL 61606-1830
(512) 638-3470
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.004809
IL
Other
Enumeration date
08/02/2006
Last updated
05/02/2013
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