Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACQUELINE GRACE REA, PHD, ABPP-CN
Active Sole ProprietorDR. JACQUELINE GRACE REA, PHD, ABPP-CN is a Clinical Neuropsychologist healthcare provider located in ORLAND PARK, Illinois. NPI 1487829867 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · ORLAND PARK, IL
Registration Details
- NPI Number
- 1487829867
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2008 (18.29566406981 yrs)
- Last Updated
- Nov 25, 2014
- Licenses
-
071007463 (IL)071007463 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10730 W 143RD ST STE 37ORLAND PARK, IL, 604621940Browse IL providers · Browse ZIP 60462
- Phone
- 8005640863
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Child, Clinical Psychologist
Other Clinical Neuropsychologist Providers in ORLAND PARK, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ROY GILLILAND | PHD | 1295700680 |
| DR. VALERIE L. SCARAMELLA-NOWINSKI | PSY.D. | 1750413126 |
| JAMIE WALTER | PSYD | 1730470444 |
| LAUREN CRISANTI | PH.D. | 1659824928 |
| KENNETH VICENCIO | PSYD | 1891211710 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.