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NPI Code Detail

MEDICARE: DR. JODIE ERIN SINGER M.A., PSY.D.

MEDICARE: DR. JODIE ERIN SINGER M.A., PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist071.007920IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11720394356OTHERILPERSONAL NPI

General Provider Information

NPI Number : 1720394356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JODIE ERIN SINGER M.A., PSY.D.
Provider Business Mailing Address
First Line : 5246 W CARMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2211
Country : US
Telephone Number : 312-566-8536
Fax Number :
Provider Business Practice Location Address
First Line : 25 E WASHINGTON ST STE 1717
Second Line :
City : CHICAGO
State : IL
Zip : 60602-1839
Country : US
Telephone Number : 312-566-8536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2010
Last Update Date : 07/21/2023

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