Organization
CRESCENT PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA DUBNOW PSYD (CO-OWNER)
(847) 525-5875
Entity
Organization
Contact information
Practice address
778 W FRONTAGE RD STE 111, NORTHFIELD, IL 60093-1209
(847) 220-8317
Mailing address
778 W FRONTAGE RD STE 111, NORTHFIELD, IL 60093-1209
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
07/13/2022
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