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Dr. Jacqueline Grace Rea, PhD, ABPP-CN

Clinical Neuropsychologist in Orland Park, IL. Individual provider (NPI-1).

NPI number1487829867
StatusActive
Last updated in NPPESNov 25, 2014

Details

NPI
1487829867
Entity type
Individual (NPI-1)
Name
Dr. Jacqueline Grace Rea
Credential
PhD, ABPP-CN
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 25, 2008
Last updated
Nov 25, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103G00000X Clinical Neuropsychologist071007463ILYes
103TC2200X Psychologist, Clinical Child & Adolescent071007463IL

Practice location

10730 W 143rd St Ste 37
Orland Park, IL 60462-1940

Phone 800-564-0863

Mailing address

10730 W 143rd St Ste 37
Orland Park, IL 60462-1940

Phone 800-564-0863

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Other Clinical Neuropsychologist providers in Orland Park, IL

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