Individual
DEBRA J JEDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1813 W. KIRBY AVENUE, PSYCHIATRY/PSYCHOLOGY, CHAMPAIGN, IL 61821
(217) 383-1850
(217) 383-3439
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071006849
IL
Other
Enumeration date
07/07/2006
Last updated
05/26/2015
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