Individual
DR. CLARISSA MARIE EDGE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 OLD STATE CAPITOL PLZ, SPRINGFIELD, IL 62701-1512
(217) 953-1343
Mailing address
3975 LEACH RD, ROCHESTER, IL 62563-8061
(217) 953-1343
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.010899
IL
Other
Enumeration date
06/21/2018
Last updated
05/29/2025
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