Individual
DR. SUSAN G. MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1480 N NORTHWEST HWY, SUITE 205, PARK RIDGE, IL 60068-1322
(815) 735-9540
(773) 926-0938
Mailing address
1480 N NORTHWEST HWY, SUITE 205, PARK RIDGE, IL 60068-1322
(815) 735-9540
(773) 926-0938
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071002723
IL
103TC0700X
Clinical Psychologist
Primary
071002723
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071002723
IL
Other
Enumeration date
08/22/2006
Last updated
03/31/2013
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