Individual
ALLISON JANE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
333 E ONTARIO ST APT 4401B, CHICAGO, IL 60611-8104
(312) 620-2252
Mailing address
3900 N PINE GROVE AVE APT 301, CHICAGO, IL 60613-5551
(312) 620-2252
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
071.010174
IL
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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