Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | ||
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 103TH0004X | Health Psychologist |
NPI | 1124790217 |
---|---|
Provider Name | Dr. Evette Akua Addai |
First Address | Chicago, IL 60649-1002 |
Second Address | Chicago, IL 60649-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2021 |
Last Update Date | 28/09/2021 |