Laura Jackman
Clinical Psychologist
1415 Maple Rd
Joliet
, Illinois 60432-1442
Laura Jackman
Clinical Psychologist
1415 Maple Rd
Joliet
, Illinois 60432-1442
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Laura Jackman
- 604 Lambeth Ln
- New Lenox, IL
- Zip : 60451-9638
- Phone :
Second Address
- Laura Jackman
- 1415 Maple Rd
- Joliet, IL
- Zip : 60432-1442
- Phone : (815) 735-0732
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 180.003361 | IL |
| Y | 103TC0700X | Clinical Psychologist | 180.003361 | IL |
National Provider Identifier
| NPI | 1003067307 |
|---|---|
| Provider Name | Laura Jackman |
| First Address | New Lenox, IL 60451-9638 |
| Second Address | Joliet, IL 60432-1442 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2008 |
| Last Update Date | 05/10/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.