Eastland Psychological Services, Ltd. in Bloomington - Clinical
Eastland Psychological Services, Ltd. - NPI 1194795344
Eastland Psychological Services, Ltd. is a Clinical in Bloomington, Illinois. Eastland Psychological Services, Ltd. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eastland Psychological Services, Ltd. is 1194795344. The last update date is 2008-03-12.
Eastland Psychological Services, Ltd.'s current location address is Emp Ii, Suite Ll-1000, Bloomington, Illinois. You can contact this provider via phone number 3096631623. The mailing address for Eastland Psychological Services, Ltd. is Emp Ii, Suite Ll-1000, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastland Psychological Services, Ltd. |
|---|---|
| Address | Emp Ii, Suite Ll-1000, Bloomington, Illinois |
| Phone Number | 3096631623 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | French Mel |
| Credentials | PSY.D. |
| Telephone Number | 3096631623 |
NPI Number Detail
| NPI Number | 1194795344 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2008-03-12 |
Provider Mailing Address Detail
| Address | Emp Ii, Suite Ll-1000 |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 61701 |
| Phone Number | 3096631623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71-3664 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Eastland Psychological Services, Ltd. by the Centers for Medicare & Medicaid Services?
The Eastland Psychological Services, Ltd. has been assigned the NPI (National Provider Identifier) 1194795344. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Eastland Psychological Services, Ltd.?
The Eastland Psychological Services, Ltd. is physically situated at Emp Ii, Suite Ll-1000, in the city of Bloomington, state of IL, with the postal code 61701.
What is the area of specialization for Eastland Psychological Services, Ltd., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eastland Psychological Services, Ltd. is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When was the Eastland Psychological Services, Ltd.'s 1194795344 issued?
The Eastland Psychological Services, Ltd.'s 1194795344 was issued on 2006-01-23.
As of what date were the Eastland Psychological Services, Ltd.'s details last updated?
The information pertaining to the Eastland Psychological Services, Ltd., including its address, specialty, and other details, was most recently updated on 2008-03-12.
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