Individual
JANE VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5505 N FAIRMONT DRIVE, PEORIA, IL 61614
(309) 689-6700
(309) 689-0774
Mailing address
5505 N FAIRMONT DR, PEORIA, IL 61614-4246
(309) 689-6700
(309) 689-0774
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005320
IL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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