Individual
MS. REBECCA LA PRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
750 N HUDSON AVE UNIT 1102, CHICAGO, IL 60654-6702
(602) 743-1014
Mailing address
750 N HUDSON AVE UNIT 1102, CHICAGO, IL 60654-6702
(602) 743-1014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11947
MA
Other
Enumeration date
09/05/2012
Last updated
01/04/2023
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