Individual
DR. TAVIA WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068-1471
(847) 759-9110
Mailing address
719 MONROE ST, EVANSTON, IL 60202-2612
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009596
IL
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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