Psychology Professionals in Willow Springs - Clinical
Psychology Professionals - NPI 1245313071
Psychology Professionals is a Clinical in Willow Springs, Illinois. Psychology Professionals practices all healthcare services and medical treatments related to Clinical. The NPI Number for Psychology Professionals is 1245313071. The last update date is 2016-11-18.
Psychology Professionals's current location address is 9010 Reserve Dr, Willow Springs, Illinois. You can contact this provider via phone number 7082684159 and fax number 6304550553. The mailing address for Psychology Professionals is 9010 Reserve Dr, Willow Springs, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychology Professionals |
|---|---|
| Address | 9010 Reserve Dr, Willow Springs, Illinois |
| Phone Number | 7082684159 |
| Fax Number | 6304550553 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ebeid T Jenny |
| Credentials | PSYD |
| Telephone Number | 7082684159 |
NPI Number Detail
| NPI Number | 1245313071 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2016-11-18 |
Provider Mailing Address Detail
| Address | 9010 Reserve Dr |
|---|---|
| City | Willow Springs |
| State | Illinois (IL) |
| Post Code | 604801183 |
| Phone Number | 7082684159 |
| Fax Number | 6304550553 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71007039 |
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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 identification code assigned to Psychology Professionals by the Centers for Medicare & Medicaid Services?
The Psychology Professionals has been issued the NPI (National Provider Identifier) 1245313071. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Psychology Professionals located?
The Psychology Professionals is located at 9010 Reserve Dr, Willow Springs, IL 604801183.
What is Psychology Professionals's specialized field of practice, and what is the corresponding taxonomy classification code?
The Psychology Professionals's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did the Psychology Professionals receive its 1245313071?
The Psychology Professionals was issued its 1245313071 on 2006-10-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Psychology Professionals last refreshed?
The information related to the Psychology Professionals, including its address, specialty, and other relevant details, was last updated on 2016-11-18.