Jacqueline Grace Rea in Orland Park - Clinical Child & Adolescent

Jacqueline Grace Rea - NPI 1487829867

Jacqueline Grace Rea is a Clinical Child & Adolescent in Orland Park, Illinois. Jacqueline Grace Rea practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jacqueline Grace Rea is 1487829867. The last update date is 2014-11-25.

Jacqueline Grace Rea's current location address is 10730 W 143rd St Ste 37, Orland Park, Illinois. You can contact this provider via phone number 8005640863. The mailing address for Jacqueline Grace Rea is 10730 W 143rd St Ste 37, Orland Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline Grace Rea
Address 10730 W 143rd St Ste 37, Orland Park, Illinois
Phone Number 8005640863
Fax Number
Sole Proprietor Y
Credentials PHD, ABPP-

NPI Number Detail

NPI Number 1487829867
Provider Enumeration Date 2008-04-25
Last Updated Date 2014-11-25

Provider Mailing Address Detail

Address 10730 W 143rd St Ste 37
City Orland Park
State Illinois (IL)
Post Code 604621940
Phone Number 8005640863
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 71007463
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Jacqueline Grace Rea

What is the unique identifier code issued to Jacqueline Grace Rea by the Centers for Medicare & Medicaid Services (CMS)?

The Jacqueline Grace Rea has been assigned the NPI (National Provider Identifier) 1487829867. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Jacqueline Grace Rea?

The Jacqueline Grace Rea is situated at 10730 W 143Rd St Ste 37, in the city of Orland Park, state of IL, with the zip code 604621940.

What is Jacqueline Grace Rea's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jacqueline Grace Rea is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.

When did the Jacqueline Grace Rea receive its 1487829867?

The Jacqueline Grace Rea was issued its 1487829867 on 2008-04-25, which is the date when the organization was assigned this unique identifier.

When was the Jacqueline Grace Rea's information last updated?

The Jacqueline Grace Rea's information was last updated on 2014-11-25.

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