Individual
ALICIA M JANUARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2211 N OAK PARK AVE, SHRINERS HOSPITALS FOR CHILDREN, CHICAGO, IL 60707-3351
(773) 385-5585
(773) 385-5488
Mailing address
SHRINERS HOSPITALS FOR CHILDREN, P.O. BOX 8500, LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(813) 281-8656
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009075
IL
Other
Enumeration date
02/21/2012
Last updated
05/20/2015
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