Individual provider · Type 1 NPI
Ellie Lederman
Psychologist · Chicago, IL
Practice location
53 W Jackson Blvd Ste 1301
Chicago, IL 60604-3552
Mailing address
1929 W Evergreen Ave
Chicago, IL 60622-2471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 071010170 (IL) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1245879899
Ellie Lederman's National Provider Identifier is 1245879899, issued on Dec 30, 2019. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 2, 2020.