Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist | ||
N | 103TA0700X | Adult Development & Aging Psychologist | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 103TF0200X | Forensic Psychologist | ||
N | 103TF0200X | Forensic Psychologist | IL | |
N | 103TH0004X | Health Psychologist | ||
N | 103TH0100X | Health Service | ||
N | 103TM1800X | Intellectual & Developmental Disabilities | ||
N | 1041C0700X | Clinical Social Worker |
NPI | 1467112938 |
---|---|
Provider Name | Prof. Gladys Annor Gyabaah |
First Address | River Forest, IL 60305-1550 |
Second Address | River Forest, IL 60305-1550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2021 |
Last Update Date | 02/01/2022 |