Individual
DR. ALEXANDER JACOB LALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1509 W BERWYN AVE STE 203, CHICAGO, IL 60640-8057
(847) 989-2101
Mailing address
2223 W HIGHLAND AVE APT 1E, CHICAGO, IL 60659-2187
(847) 989-2101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010243
IL
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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