Gateway Psychological Services, Ltd in Aurora - Clinical
Gateway Psychological Services, Ltd - NPI 1619163268
Gateway Psychological Services, Ltd is a Clinical in Aurora, Illinois. Gateway Psychological Services, Ltd practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gateway Psychological Services, Ltd is 1619163268. The last update date is 2012-10-19.
Gateway Psychological Services, Ltd's current location address is 412 N Lake St, Aurora, Illinois. You can contact this provider via phone number 6308962337 and fax number 6308963515. The mailing address for Gateway Psychological Services, Ltd is 412 N Lake St, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gateway Psychological Services, Ltd |
|---|---|
| Address | 412 N Lake St, Aurora, Illinois |
| Phone Number | 6308962337 |
| Fax Number | 6308963515 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Dillon Ann Charlotte |
| Credentials | PH.D. |
| Telephone Number | 6308962337 |
NPI Number Detail
| NPI Number | 1619163268 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2012-10-19 |
Provider Mailing Address Detail
| Address | 412 N Lake St |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 605064106 |
| Phone Number | 6308962337 |
| Fax Number | 6308963515 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71004310 |
|
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 |
|---|---|---|---|
| 4515275 | IL | BC BS OF ILLINOIS | |
| 4572030 | IL | BC BS OF ILLINOIS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gateway Psychological Services, Ltd?
The Gateway Psychological Services, Ltd has been issued the NPI (National Provider Identifier) 1619163268 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Gateway Psychological Services, Ltd is physically located?
The Gateway Psychological Services, Ltd is physically situated at the following address: 412 N Lake St, Aurora, IL, 605064106.
What is Gateway Psychological Services, Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gateway Psychological Services, Ltd's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619163268 to Gateway Psychological Services, Ltd?
The Centers for Medicare & Medicaid Services assigned the 1619163268 to Gateway Psychological Services, Ltd on 2007-09-18.
When was the information related to Gateway Psychological Services, Ltd most recently updated or refreshed?
The details pertaining to the Gateway Psychological Services, Ltd, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-19.
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