| Dr Jessica Lee Marshall, PSYD | |
|
336 Gundersen Drive, Suite B, Carol Stream, IL 60188 | |
| (630) 871-2100 | |
| (630) 588-0824 |
| Full Name | Dr Jessica Lee Marshall |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 336 Gundersen Drive, Carol Stream, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457667776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | IL#071.009056 (Illinois) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Entity Name | Outreach Community Ministries Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255443669 PECOS PAC ID: 6103188016 Enrollment ID: O20180313000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Lee Marshall, PSYD 373 S Schmale Rd Ste 102, Carol Stream, IL 60188-2771 Ph: (630) 682-1910 | Dr Jessica Lee Marshall, PSYD 336 Gundersen Drive, Suite B, Carol Stream, IL 60188 Ph: (630) 871-2100 |
Dr. Sandra Johnston Kruse, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 336 Gundersen Dr Ste B, Outreach Community Counseling Center, Carol Stream, IL 60188 Phone: 630-871-2100 Fax: 630-588-0824 | |
Dr. Alana Marquez Roth, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 336 Gundersen Dr Ste B, Carol Stream, IL 60188 Phone: 630-871-2100 | |
Dr. Jonathan Woodin, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1272 Rose Ave, Carol Stream, IL 60188 Phone: 847-707-6387 | |
Dr. Ann Michelle Letourneau, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 507 Thornhill Dr, Carol Stream, IL 60188 Phone: 630-752-9750 | |
Dr. Anna Ciampanelli, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 507 Thornhill Dr, Carol Stream, IL 60188 Phone: 630-752-9750 | |
Dr. Karen Haydee Hurula, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 507 Thornhill Dr, Carol Stream, IL 60188 Phone: 630-752-9768 |