Dr. Rebecca Leandra Rodriguez Rivera, PsyD
Student in an Organized Health Care Education/Training Program in Chicago, IL. Individual provider (NPI-1).
NPI number1457074791
StatusActive
Last updated in NPPESSep 25, 2022
Details
- NPI
- 1457074791
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rebecca Leandra Rodriguez Rivera
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2022
- Certification date
- Sep 25, 2022
- Last updated
- Sep 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | IL | Yes |
Practice location
4732 N Austin Ave Unit AChicago, IL 60630-3785
Phone 847-340-9908
Mailing address
4116 1/2 N Sheridan Rd Apt 1eChicago, IL 60613-2040
Phone 787-605-3511
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