Jeanine Standard Metamorphosis Inc
Jeanine Standard Metamorphosis Inc provides Clinical Psychologist services in Canton, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8 S Main St Ste 205Canton, IL 61520-2677 Not confirmed with CMS for 10 years — call before visiting
Phone: (309) 740-2171
Fax: (309) 740-2171
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 071.007101 (IL) |
|---|
Record details
| NPI number | 1427401504 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeanine Standard — Licensed Clinical Psychologist · (309) 740-2171 |
| NPI enumerated | July 13, 2016 |
| Last updated in NPPES | July 13, 2016 |
| Mailing address | 8 S Main St, Suite 205, Canton, IL 61520-2677 |