Self Empowerment Center, Pc in Wheaton - Clinical
Self Empowerment Center, Pc - NPI 1871615468
Self Empowerment Center, Pc is a Clinical in Wheaton, Illinois. Self Empowerment Center, Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Self Empowerment Center, Pc is 1871615468. The last update date is 2008-08-26.
Self Empowerment Center, Pc's current location address is 1751 South Naperville Road, Wheaton, Illinois. You can contact this provider via phone number 6307748316 and fax number 6306903353. The mailing address for Self Empowerment Center, Pc is 1751 South Naperville Road, Wheaton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Self Empowerment Center, Pc |
|---|---|
| Address | 1751 South Naperville Road, Wheaton, Illinois |
| Phone Number | 6307748316 |
| Fax Number | 6306903353 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Khan Ali Asif |
| Credentials | PSYD |
| Telephone Number | 6307748316 |
NPI Number Detail
| NPI Number | 1871615468 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2008-08-26 |
Provider Mailing Address Detail
| Address | 1751 South Naperville Road |
|---|---|
| City | Wheaton |
| State | Illinois (IL) |
| Post Code | 60189 |
| Phone Number | 6307748316 |
| Fax Number | 6306903353 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1623115 | IL | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identification code issued to Self Empowerment Center, Pc by the Centers for Medicare & Medicaid Services?
The Self Empowerment Center, Pc has been assigned the NPI (National Provider Identifier) 1871615468 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Self Empowerment Center, Pc is located?
The Self Empowerment Center, Pc is situated at the following address: 1751 South Naperville Road, Wheaton, IL, 60189.
What is the Self Empowerment Center, Pc's area of specialization and corresponding taxonomy classification?
The Self Empowerment Center, Pc's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When was the Self Empowerment Center, Pc's 1871615468 issued?
The Self Empowerment Center, Pc's 1871615468 was issued on 2007-04-04.
When was the information pertaining to Self Empowerment Center, Pc most recently updated or revised?
The details related to Self Empowerment Center, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-26.
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