Individual
JENNIFER PALEY EDIDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
790 W FRONTAGE RD, SUITE 209, NORTHFIELD, IL 60093-1204
(847) 441-4433
(847) 441-4430
Mailing address
790 W FRONTAGE RD, SUITE 209, NORTHFIELD, IL 60093-1204
(847) 441-4433
(847) 441-4430
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071-008227
IL
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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