Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | IL | |
N | 103TC0700X | Clinical Psychologist | IL | |
Y | 103TC1900X | Counseling Psychologist | IL | |
N | 103TH0004X | Health Psychologist | IL |
NPI | 1093987604 |
---|---|
Provider Name | Dr. Gretchen L. Doninger |
First Address | Chicago, IL 60611-3277 |
Second Address | Chicago, IL 60611-3277 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2008 |
Last Update Date | 24/03/2008 |