Individual
MS. BARBARA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 RICHMOND ST, EVANSTON, IL 60202-3639
(773) 262-9625
Mailing address
7516 N CLAREMONT AVE, CHICAGO, IL 60645-1571
(773) 262-9625
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2064983
IL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
2064983
IN
171W00000X
Contractor
Primary
2064983
IL
172A00000X
Driver
2064983
IL
172V00000X
Community Health Worker
2064983
IL
174400000X
Specialist
2064983
IL
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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