Jennifer C. Panning Psyd PC

NPI #1326440454 in Evanston, Illinois

Provider Information

NPI Number: 1326440454
Entity Type: Organization
Organization Name: Jennifer C. Panning Psyd PC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Sep 19, 2014
Last Updated: Apr 6, 2022

Practice Location

Address: 636 CHURCH ST.
Address 2: STE. 510
City: Evanston
State: Illinois
ZIP Code: 60201-4508
Phone: (847) 864-0600

Authorized Official

Name: JENNIFER C. PANNING, PSYD
Title: PRESIDENT
Phone: (847) 864-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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