DR. Jerry Mark Otoole, PSYD

NPI #1790393650 in Plainfield, Illinois

Provider Information

NPI Number: 1790393650
Entity Type: Individual
Name: DR. Jerry Mark Otoole, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Jul 16, 2020
Last Updated: Aug 29, 2024

Practice Location

Address: 24402 W LOCKPORT ST STE 215
City: Plainfield
State: Illinois
ZIP Code: 60544-4204
Phone: (630) 621-5824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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