Institute For Health Behavior Change Inc. in Willowbrook - Clinical Neuropsychologist
Institute For Health Behavior Change Inc. - NPI 1639350044
Institute For Health Behavior Change Inc. is a Clinical Neuropsychologist in Willowbrook, Illinois. Institute For Health Behavior Change Inc. practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Institute For Health Behavior Change Inc. is 1639350044. The last update date is 2008-02-13.
Institute For Health Behavior Change Inc.'s current location address is 621 Plainfield Rd Ste 110, Willowbrook, Illinois. You can contact this provider via phone number 6306541377 and fax number 6306542575. The mailing address for Institute For Health Behavior Change Inc. is 621 Plainfield Rd Ste 110, Willowbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Institute For Health Behavior Change Inc. |
|---|---|
| Address | 621 Plainfield Rd Ste 110, Willowbrook, Illinois |
| Phone Number | 6306541377 |
| Fax Number | 6306542575 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Ellecom Samuel Richenel |
| Credentials | PSY.D, DR. |
| Telephone Number | 6306541377 |
NPI Number Detail
| NPI Number | 1639350044 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2008-02-13 |
Provider Mailing Address Detail
| Address | 621 Plainfield Rd Ste 110 |
|---|---|
| City | Willowbrook |
| State | Illinois (IL) |
| Post Code | 605275385 |
| Phone Number | 6306541377 |
| Fax Number | 6306542575 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 71-5240 |
|
Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Post Comment/ Review Below
What is the unique identifier code issued to Institute For Health Behavior Change Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Institute For Health Behavior Change Inc. has been assigned the NPI (National Provider Identifier) 1639350044. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Institute For Health Behavior Change Inc. is located?
The Institute For Health Behavior Change Inc. is situated at the following address: 621 Plainfield Rd Ste 110, Willowbrook, IL, 605275385.
What is Institute For Health Behavior Change Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Institute For Health Behavior Change Inc. is Clinical Neuropsychologist, and the corresponding taxonomy classification code for this specialized field is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639350044 to Institute For Health Behavior Change Inc.?
The Centers for Medicare & Medicaid Services assigned the 1639350044 to Institute For Health Behavior Change Inc. on 2007-11-14.
When was the information regarding Institute For Health Behavior Change Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Institute For Health Behavior Change Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-13.
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