Organization
JACLYN ROSS PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN ROSS PHD (CLINICAL PSYCHOLOGIST)
(312) 210-0374
Entity
Organization
Contact information
Practice address
53 W JACKSON BLVD STE 336, CHICAGO, IL 60604-3688
(708) 665-4721
Mailing address
2333 W SAINT PAUL AVE APT 133, CHICAGO, IL 60647-5343
(908) 246-5028
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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