Jennifer C. Panning PSYD PC
Jennifer C. Panning PSYD PC is a Psychologist in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
636 Church St Ste 510Evanston, IL 60201-4508
Phone: (847) 864-0600
Fax: (847) 859-6996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X |
|---|---|
| Psychologist | Taxonomy 103T00000X · Licence 71-006778 (IL) |
Record details
| NPI number | 1326440454 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Panning — President · (847) 864-0600 |
| Other names | Mindful Psychology Associates; Mindful Psychology Associates Pc; Mindful Psychology Associates Pc |
| NPI enumerated | September 19, 2014 |
| Last updated in NPPES | April 6, 2022 |
| Certification date | April 6, 2022 |
| Mailing address | 636 Church St Ste 520, Evanston, IL 60201-4581 |
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