Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | ||
Y | 103TC0700X | Clinical Psychologist | ||
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
N | 103TA0700X | Adult Development & Aging Psychologist | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103G00000X | Clinical Psychologist | 071010532 | IL |
N | 103TC0700X | Clinical Psychologist | 071010532 | IL |
N | 103G00000X | Clinical Psychologist | 101153 | IA |
N | 103TC0700X | Clinical Psychologist | 101153 | IA |
N | 103TC1900X | Counseling Psychologist | ||
N | 103TH0004X | Health Psychologist | ||
N | 103TM1800X | Intellectual & Developmental Disabilities | ||
N | 103TR0400X | Rehabilitation Psychologist |
NPI | 1326620642 |
---|---|
Provider Name | Dr. Divya Jain |
First Address | Palatine, IL 60074-2858 |
Second Address | Palatine, IL 60074-2858 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2021 |
Last Update Date | 26/05/2021 |