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JEANINE STANDARD, PH D LCPC

PH D LCPC

Psychologist

NPI: 1790888311Individual

Specialties, Licenses & Credentials

PsychologistPrimary

Psychologist

Code: 103T00000X

CMS Specialties

PrimaryCLINICAL PSYCHOLOGIST

Education

OTHER

Class of 2003

Contact & Hours

Address
6615 N BIG HOLLOW RD
PEORIA, IL 61615

Quick Facts

NPI
1790888311
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1
Years in Practice
23

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