Ginger Kendell Brainard
Ginger Kendell Brainard is a Clinical Child & Adolescent Psychologist in LA Salle, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
2970 Chartres StLA Salle, IL 61301-1097
Phone: (815) 223-0196
Fax: (815) 223-0358
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Specialties & licences
| Clinical Child & Adolescent Psychologist (primary) | Taxonomy 103TC2200X · Licence 071006571 (IL) |
|---|
Record details
| NPI number | 1871842450 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 29, 2012 |
| Last updated in NPPES | August 29, 2012 |
| Mailing address | 2970 Chartres St, La Salle, IL 61301-1097 |