Psychology Specialists Ltd

NPI 1053368605 - Psychologist - 103TC0700X

NPI Details
NPI 1053368605
Enumeration Date 05/28/2006
Last Updated 04/23/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL P MICHAEL
Position DIRECTOR
Phone (309) 706-3190
Fax (309) 588-4115
Practice Location
808 S ELDORADO RD STE 102
BLOOMINGTON IL, 61704-6075, US
Phone (309) 706-3190
Fax (309) 588-4115
Business Location
PO BOX 604
BLOOMINGTON IL, 61702-0604, US
Phone (309) 706-3190
Fax (309) 588-4115
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 071-005708
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According to our database, Psychology Specialists Ltd NPI is 1053368605, taxonomy code is 103TC0700X and license number is 071-005708, license state is located at Illinois. Psychology Specialists Ltd physically located at 808 S Eldorado Rd Ste 102, Bloomington IL, 61704-6075. NPI Number 1033115704 has the healthcare provider type.

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1053368605 NPI number is provided on an as is basis without warranty of any kind. 1053368605 is maintained by the National Plan & Provider Enumeration System. The contents of Psychology Specialists Ltd are for informational purposes only.