Jacqueline Grace Rea, PHD, ABPP-CN Valid NPI
Individual provider · Clinical Neuropsychologist · Orland Park, IL
- NPI
- 1487829867
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Neuropsychologist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103G00000X
- License number
- 071007463 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2008-04-25
- Last updated
- 2014-11-25
Practice location
10730 W 143rd St Ste 37
Orland Park, IL 60462-1940
(800) 564-0863