Individual
DR. STEPHANIE CARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
307 N MICHIGAN AVE STE 1014, CHICAGO, IL 60601-5310
(630) 536-9604
Mailing address
307 N MICHIGAN AVE STE 1014, CHICAGO, IL 60601-5310
(630) 536-9604
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009925
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL071009925
LICENSE
IL
Enumeration date
07/11/2016
Last updated
07/14/2022
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