Peoria Psychological Associates, P.C. in Peoria - Clinical
Peoria Psychological Associates, P.C. - NPI 1427021393
Peoria Psychological Associates, P.C. is a Clinical in Peoria, Illinois. Peoria Psychological Associates, P.C. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Peoria Psychological Associates, P.C. is 1427021393. The last update date is 2012-04-12.
Peoria Psychological Associates, P.C.'s current location address is 5505 N Fairmont Dr, Peoria, Illinois. You can contact this provider via phone number 3096896700 and fax number 3096890774. The mailing address for Peoria Psychological Associates, P.C. is 5505 N Fairmont Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peoria Psychological Associates, P.C. |
|---|---|
| Address | 5505 N Fairmont Dr, Peoria, Illinois |
| Phone Number | 3096896700 |
| Fax Number | 3096890774 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER, CLI |
|---|---|
| Authorized Official Name | Velez Jane |
| Credentials | PSY.D. |
| Telephone Number | 3096896700 |
NPI Number Detail
| NPI Number | 1427021393 |
|---|---|
| Provider Enumeration Date | 2006-02-09 |
| Last Updated Date | 2012-04-12 |
Provider Mailing Address Detail
| Address | 5505 N Fairmont Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144246 |
| Phone Number | 3096896700 |
| Fax Number | 3096890774 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71005320 |
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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 Peoria Psychological Associates, P.C.'s unique identification number?
The Peoria Psychological Associates, P.C. has been assigned the NPI (National Provider Identifier) Number 1427021393 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Peoria Psychological Associates, P.C.?
The Peoria Psychological Associates, P.C. is situated at 5505 N Fairmont Dr, in the city of Peoria, state of IL, with the zip code 616144246.
What is Peoria Psychological Associates, P.C.'s area of expertise and its corresponding taxonomy classification?
The Peoria Psychological Associates, P.C.'s field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1427021393 assigned to Peoria Psychological Associates, P.C.?
The Peoria Psychological Associates, P.C. was issued its 1427021393 on 2006-02-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Peoria Psychological Associates, P.C. most recently updated or revised?
The details related to Peoria Psychological Associates, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2012-04-12.