Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | IL | |
Y | 103G00000X | Clinical Psychologist | 071.010142 | IL |
Y | 103TC0700X | Clinical Psychologist | 071.010142 | IL |
NPI | 1003240516 |
---|---|
Provider Name | Reshma Rampersad |
First Address | Chicago, IL 60605-1315 |
Second Address | Chicago, IL 60605-1394 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2013 |
Last Update Date | 14/01/2020 |