Organization
JASON SORIANO, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SORIANO PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(815) 520-0927
Entity
Organization
Contact information
Practice address
973 FEATHERSTONE RD STE 360, ROCKFORD, IL 61107-5908
(815) 520-0927
(815) 345-2162
Mailing address
973 FEATHERSTONE RD STE 360, ROCKFORD, IL 61107-5908
(815) 520-0927
(815) 345-2162
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
071009069
IL
Other
Enumeration date
07/23/2015
Last updated
01/04/2023
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