Advanced Behavioral Health P C in Peoria - Clinical
Advanced Behavioral Health P C - NPI 1346462850
Advanced Behavioral Health P C is a Clinical in Peoria, Illinois. Advanced Behavioral Health P C practices all healthcare services and medical treatments related to Clinical. The NPI Number for Advanced Behavioral Health P C is 1346462850. The last update date is 2007-08-27.
Advanced Behavioral Health P C's current location address is 8600 Route 91, North, Peoria, Illinois. You can contact this provider via phone number 3096835094 and fax number 3096835095. The mailing address for Advanced Behavioral Health P C is 8600 Route 91, North, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Behavioral Health P C |
|---|---|
| Address | 8600 Route 91, North, Peoria, Illinois |
| Phone Number | 3096835094 |
| Fax Number | 3096835095 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rogers Lynne Lisa |
| Credentials | PSY.D. |
| Telephone Number | 3096489587 |
NPI Number Detail
| NPI Number | 1346462850 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-08-27 |
Provider Mailing Address Detail
| Address | 8600 Route 91, North |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61615 |
| Phone Number | 3096835094 |
| Fax Number | 3096835095 |
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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What is the Advanced Behavioral Health P C's 1346462850?
The Advanced Behavioral Health P C's NPI (National Provider Identifier) Number is 1346462850. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Advanced Behavioral Health P C located?
The Advanced Behavioral Health P C is located at 8600 Route 91, North, Peoria, IL 61615.
What is Advanced Behavioral Health P C's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Advanced Behavioral Health P C is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did Advanced Behavioral Health P C receive its 1346462850 assignment?
The Advanced Behavioral Health P C was assigned its 1346462850 on 2007-05-03, which is the date when this unique identifier was issued to the organization.
When was the information regarding Advanced Behavioral Health P C most recently updated?
The details pertaining to the Advanced Behavioral Health P C, including its address, specialty, and other relevant information, were last refreshed on 2007-08-27.
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