Individual
DR. CASEY ERIN CLARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MDIV
Contact information
Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008666
IL
Other
Enumeration date
09/04/2009
Last updated
10/23/2013
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