| Dr Damita Larue Psychology Pllc | |
|
1417 W Hollywood Ave Apt 1 Chicago IL 60660-4483 | |
| (907) 764-2291 | |
| (773) 634-8112 |
| Full Name | Dr Damita Larue Psychology Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1417 W Hollywood Ave Apt 1, Chicago, Illinois |
| Authorized Official Name and Position | Damita Sunwolf Larue (CEO & CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9077642291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Damita Larue Psychology Pllc 1417 W Hollywood Ave Apt 1 Chicago IL 60660-4483 Ph: (907) 764-2291 | Dr Damita Larue Psychology Pllc 1417 W Hollywood Ave Apt 1 Chicago IL 60660-4483 Ph: (907) 764-2291 |
| NPI Number | 1255197042 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255197042 | NPI | - | NPPES |
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