Individual
DR. JENNIFER NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4801 W. PETERSON AVE, SUITE 401, CHICAGO, IL 60646-5730
(773) 282-2322
(773) 282-2853
Mailing address
4801 W. PETERSON AVE, SUITE 401, CHICAGO, IL 60646-5730
(773) 282-2322
(773) 282-2853
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009192
IL
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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