Individual
DR. JACQUELINE LEIGH SIERZEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071009893
IL
103TC0700X
Clinical Psychologist
Primary
071009893
IL
104100000X
Social Worker
150012903
IL
Other
Enumeration date
06/25/2018
Last updated
11/08/2019
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