Individual
CAITLIN JOSHUA LISTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7306
Mailing address
1255 S MICHIGAN AVE APT 1103, CHICAGO, IL 60605-3297
(708) 710-9607
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010058
IL
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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