Washburn, Jason J.

Washburn, Jason J. is an sole proprietor health care provider with primary practice located at 3047 N Lincoln Ave Suite #400, Chicago IL 60657-4999. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Washburn, Jason J. can be contacted via phone (773) 904-0445.

Contact Information

Primary practice address
3047 N Lincoln Ave Suite #400 Chicago IL 60657-4999
Phone: (773) 904-0445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071006568 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071006568 Illinois
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 071006568 Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071006568 Illinois

Profile Details

NPI number 1962628586
LBN Legal business name Washburn, Jason J.
Credentials PH.D., ABPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Jul 9th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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