Individual
DR. LORRAINE A DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10725 S WESTERN AVE, CHICAGO, IL 60643-3135
(773) 405-7449
(773) 821-5257
Mailing address
966 E 100TH PL, CHICAGO, IL 60628-1682
(773) 405-7449
(773) 821-5257
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071005845
IL
103TC0700X
Clinical Psychologist
Primary
071005845
IL
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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