Whalio Doctors

NPI 1003067307

Laura Jackman

Practitioner Clinical Psychologist Joliet, IL

Practice location

Address
1415 Maple Rd, Joliet, IL 60432-1442
Phone
(815) 735-0732
Mailing address
604 Lambeth Ln, New Lenox, IL 60451-9638

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 180.003361 (IL)

Registry record

NPI
1003067307
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Oct 2008
Record last updated
5 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.