Individual
DR. JASON EDWARD LAHOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3317 W LE MOYNE ST, CHICAGO, IL 60651-2452
(312) 659-0200
Mailing address
3317 W LE MOYNE ST, CHICAGO, IL 60651-2452
(312) 659-0200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008046
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071008046
IL
103TP2701X
Group Psychotherapy Psychologist
071008046
IL
Other
Enumeration date
11/29/2010
Last updated
06/09/2021
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