Individual
DR. JEAN KATHRYN CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
55 E WASHINGTON ST, # 1219, CHICAGO, IL 60602-2103
(312) 641-6461
Mailing address
55 E WASHINGTON ST, # 1219, CHICAGO, IL 60602-2103
(312) 641-6461
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001673184
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/26/2006
Last updated
07/08/2007
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