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General NPI Number Information
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NPI Number | 1073487096
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Entity Type | Organization
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Legal Business Name | MIND MAPPING EVALUATIONS OF CHICAGO PLLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 40 E HURON ST STE 304
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City | CHICAGO
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State | IL
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Zip | 60611-5244
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Country | US
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Telephone | 615-887-6406
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Fax |
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Provider Business Mailing Address
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Address Line | 40 E HURON ST STE 304
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City | CHICAGO
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State | IL
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Zip | 60611-5244
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Country | US
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Telephone | 615-887-6406
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFERY GARRISON JR.
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Credential | PSY.D
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Telephone | 615-887-6406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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