Individual
DR. ALLYSE STURDIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
222 MERCHANDISE MART PLZ, SUITE 442, CHICAGO, IL 60654-1103
(773) 680-0442
Mailing address
10015 S KING DR, CHICAGO, IL 60628-2131
(773) 680-0442
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008324
IL
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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