Individual
SARAH TICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 REVERE DR, SUITE 1A, NORTHBROOK, IL 60062-1556
(847) 562-4992
Mailing address
215 REVERE DR, SUITE 1A, NORTHBROOK, IL 60062-1556
(847) 562-4992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.009363
IL
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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