Laura Jackman, | |
1415 Maple Rd, Joliet, IL 60432-1442 | |
(815) 735-0732 | |
Not Available |
Full Name | Laura Jackman |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 1415 Maple Rd, Joliet, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003067307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 180.003361 (Illinois) | Primary |
Entity Name | The Kennedy Center For Counseling, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538569058 PECOS PAC ID: 5496052656 Enrollment ID: O20160401001856 |
Mailing Address | Practice Location Address |
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Laura Jackman, 604 Lambeth Ln, New Lenox, IL 60451-9638 Ph: () - | Laura Jackman, 1415 Maple Rd, Joliet, IL 60432-1442 Ph: (815) 735-0732 |
Zarifa Jadallah, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 420 N Raynor Ave, Joliet, IL 60435 Phone: 815-740-3196 | |
Rita Gray Ii, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 501 Ella Ave, Joliet, IL 60433 Phone: 815-727-5904 Fax: 815-727-0136 | |
Shadequia Davis, MS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 402 Richards St, Joliet, IL 60433 Phone: 815-727-5271 | |
Dr. Angela N Chastain, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 501 Ella Ave, Joliet, IL 60433 Phone: 815-727-8521 | |
Dr. Matthew Edward Skarbek, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 Springfield Ave, Joliet, IL 60435 Phone: 630-369-2889 | |
Lauren Key, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 420 N Raynor Ave, Joliet, IL 60435 Phone: 815-740-3196 |