Individual
GEETHA MUNISAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1420 TOWER HILL DR, WOODRIDGE, IL 60517-7674
(312) 961-1557
Mailing address
1420 TOWER HILL DR, WOODRIDGE, IL 60517-7674
(312) 961-1557
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
071008111
IL
103TC0700X
Clinical Psychologist
071008111
IL
103TF0000X
Family Psychologist
071008111
IL
103TH0004X
Health Psychologist
071008111
IL
103TP2701X
Group Psychotherapy Psychologist
071008111
IL
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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