Dr. Jaclyn Sara Weisman, PhD
Psychologist, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1982164869
StatusActive
Last updated in NPPESNov 8, 2023
Details
- NPI
- 1982164869
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jaclyn Sara Weisman
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2019
- Certification date
- Nov 8, 2023
- Last updated
- Nov 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071010072 | IL | Yes |
Practice location
676 N Saint Clair St Ste 1100Chicago, IL 60611-2954
Phone 312-695-5060 · Fax 312-695-5010
Mailing address
676 N Saint Clair St Ste 1100Chicago, IL 60611-2954
Phone 312-695-5060 · Fax 312-695-5010
Other practice locations
912 S Wood St
Chicago, IL 60612
Chicago, IL 60612
Phone 312-996-7385
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