Studio For Change is a Clinical in Chicago, Illinois. Studio For Change practices all healthcare services and medical treatments related to Clinical. The NPI Number for Studio For Change is 1114180148. The last update date is 2015-06-11.
Studio For Change's current location address is 2835 N Sheffield Ave Ste 310, Chicago, Illinois. You can contact this provider via phone number 7732818130 and fax number 7732817150. The mailing address for Studio For Change is 2835 N Sheffield Ave Ste 310, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Studio For Change |
|---|---|
| Address | 2835 N Sheffield Ave Ste 310, Chicago, Illinois |
| Phone Number | 7732818130 |
| Fax Number | 7732817150 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Rahn M Julia |
| Credentials | PH.D. |
| Telephone Number | 7732818130 |
NPI Number Detail
| NPI Number | 1114180148 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2015-06-11 |
Provider Mailing Address Detail
| Address | 2835 N Sheffield Ave Ste 310 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606575084 |
| Phone Number | 7732818130 |
| Fax Number | 7732817150 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-005837 |
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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 10-digit identifier code assigned to Studio For Change by the Centers for Medicare & Medicaid Services?
The Studio For Change has been issued the NPI (National Provider Identifier) 1114180148 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Studio For Change located?
The Studio For Change is located at 2835 N Sheffield Ave Ste 310, Chicago, IL 606575084.
What is Studio For Change'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 Studio For Change is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Studio For Change receive its 1114180148 assignment from the Centers for Medicare & Medicaid Services?
The Studio For Change was assigned its 1114180148 by the Centers for Medicare & Medicaid Services on 2008-07-09.
When was the information pertaining to Studio For Change most recently updated or revised?
The details related to Studio For Change, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-11.
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