| NPI | 1518748953 |
|---|---|
| Other Name | JESSICA FUNK, PSYD, PC |
| Entity Type | Organization |
| Authorized Contact | JESSICA FUNK President/Owner 224-603-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-22 |