Individual
DR. JENNY MARIE WAMSAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1921 W DIVERSEY PKWY APT 402, CHICAGO, IL 60614-9412
(872) 225-6391
Mailing address
1921 W DIVERSEY PKWY APT 402, CHICAGO, IL 60614-9412
(872) 225-6391
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009647
IL
Other
Enumeration date
08/25/2020
Last updated
10/16/2020
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