Individual
DR. GIOVANNA RIVANO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
155 N MICHIGAN AVE STE 223, CHICAGO, IL 60601-7591
(954) 383-5643
Mailing address
155 N MICHIGAN AVE STE 223, CHICAGO, IL 60601-7591
(312) 978-6622
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071009248
IL
103TB0200X
Cognitive & Behavioral Psychologist
071009248
IL
Other
Enumeration date
04/29/2019
Last updated
07/30/2019
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