NPI 1003263112

Rae Watkins, PSYD

Practitioner Clinical Psychologist Chicago, IL

Practice location

Address: 1519 W Irving Park Rd STE 1, Chicago, IL 60613-2549
Phone: (773) 600-7580
Mailing address: PO Box 180051, Chicago, IL 60618-0025

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071009266 (IL)

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Registry record

NPI: 1003263112
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2016
Record last updated: 28 Feb 2023

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.