Individual
DR. CAREY JEANNE WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
222 E WISCONSIN AVE STE 108, LAKE FOREST, IL 60045-1700
(877) 570-7970
(877) 570-7970
Mailing address
14655 WESTWOODS LN, LIBERTYVILLE, IL 60048-9404
(847) 942-9084
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071007667
IL
103TC0700X
Clinical Psychologist
071007667
IL
103TR0400X
Rehabilitation Psychologist
071007667
IL
Other
Enumeration date
05/12/2009
Last updated
10/01/2020
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