Central Dupage Pastoral Counseling Center in Carol Stream - Clinical

Central Dupage Pastoral Counseling Center - NPI 1063401206

Central Dupage Pastoral Counseling Center is a Clinical in Carol Stream, Illinois. Central Dupage Pastoral Counseling Center practices all healthcare services and medical treatments related to Clinical. The NPI Number for Central Dupage Pastoral Counseling Center is 1063401206. The last update date is 2021-06-03.

Central Dupage Pastoral Counseling Center's current location address is 507 Thornhill Dr, Carol Stream, Illinois. You can contact this provider via phone number 6307529750 and fax number 6307529768. The mailing address for Central Dupage Pastoral Counseling Center is 507 Thornhill Dr, Carol Stream, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Central Dupage Pastoral Counseling Center
Address 507 Thornhill Dr, Carol Stream, Illinois
Phone Number 6307529750
Fax Number 6307529768
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Cochran Nancy
Credentials PSYD
Telephone Number 6307529750

NPI Number Detail

NPI Number 1063401206
Provider Enumeration Date 2005-10-20
Last Updated Date 2021-06-03

Provider Mailing Address Detail

Address 507 Thornhill Dr
City Carol Stream
State Illinois (IL)
Post Code 601882706
Phone Number 6307529750
Fax Number 6307529768

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 178002569
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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FAQs about Central Dupage Pastoral Counseling Center

What is the unique identifier code issued to Central Dupage Pastoral Counseling Center by the Centers for Medicare & Medicaid Services (CMS)?

The Central Dupage Pastoral Counseling Center has been assigned the NPI (National Provider Identifier) 1063401206. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Central Dupage Pastoral Counseling Center located?

The Central Dupage Pastoral Counseling Center is located at 507 Thornhill Dr, Carol Stream, IL 601882706.

What is Central Dupage Pastoral Counseling Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Central Dupage Pastoral Counseling Center is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

On what date did the Central Dupage Pastoral Counseling Center receive its 1063401206 assignment from the Centers for Medicare & Medicaid Services?

The Central Dupage Pastoral Counseling Center was assigned its 1063401206 by the Centers for Medicare & Medicaid Services on 2005-10-20.

As of what date was the information pertaining to Central Dupage Pastoral Counseling Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Central Dupage Pastoral Counseling Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-06-03.

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