Individual
CHRISTINA SOUV KHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1645 W JACKSON BLVD STE 400, CHICAGO, IL 60612-3244
(312) 942-5932
(312) 942-4990
Mailing address
1645 W JACKSON BLVD STE 400, CHICAGO, IL 60612-3244
(312) 942-5932
(312) 942-4990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071010318
IL
103TC0700X
Clinical Psychologist
Primary
071-010318
IL
103TH0004X
Health Psychologist
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—
Other
Enumeration date
04/16/2019
Last updated
04/06/2022
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