Individual
DR. DEIRDRE L. TANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5327 N SHERIDAN RD, SUITE A, CHICAGO, IL 60640-2774
(773) 989-1111
(773) 989-2782
Mailing address
5327 N SHERIDAN RD, SUITE A, CHICAGO, IL 60640-2774
(773) 989-1111
(773) 989-2782
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
IL
103TC0700X
Clinical Psychologist
Primary
—
IL
103TR0400X
Rehabilitation Psychologist
—
IL
Other
Enumeration date
12/29/2006
Last updated
07/13/2007
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