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Individual

SVETLANA MEDVEDEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD/HSPP

Contact information

Practice address
331 W SURF ST STE 809, CHICAGO, IL 60657-7227
(630) 428-7890
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1928
(219) 757-1950

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178007918
IL
103TC0700X
Clinical Psychologist
Primary
071009391
IL

Other

Enumeration date
11/03/2015
Last updated
11/02/2024
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