Individual
DR. JEANINE MORELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3929 N ASHLAND AVE APT 3, CHICAGO, IL 60613-5825
(773) 960-1121
Mailing address
3929 N ASHLAND AVE APT 3, CHICAGO, IL 60613-5825
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010430
IL
Other
Enumeration date
12/14/2020
Last updated
01/20/2021
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