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Antoine J Washington
Health Service Psychologist in Lansing, Illinois
NPI 1770346942

Antoine J Washington is a Health Service Psychologist based in South Holland, IL and is specialized in Health Service. Antoine J Washington practices in Lansing, IL. The NPI Number for Antoine J Washington is 1770346942 and holds a License No. W25201083167 (Illinois).

The current practice location address for Antoine J Washington is 3442 177Th St, Lansing, IL and can be reached out via phone at 708-527-6305.

Location: 3442 177Th St, Lansing, IL, 60473-2442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770346942
Provider Name
Antoine J Washington
Credential
Provider Entity Type
Individual
Gender
Male
Address
3442 177Th St, Lansing, IL, 60473-2442
Phone Number
708-527-6305
Fax Number
Provider Enumeration Date
01/31/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3442 177Th St
City
Lansing
State
Illinois
Zip
60438-2036
Phone Number
708-527-6305
Fax Number
person
Provider Business Mailing Address Details
Address
3442 177Th St
City
Lansing
State
Illinois
Zip
60438-2036
Phone Number
708-527-6305
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
W25201083167 (Illinois)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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