Springfield Psychological Center, Llc in Springfield - Clinical

Springfield Psychological Center, Llc - NPI 1174749881

Springfield Psychological Center, Llc is a Clinical in Springfield, Illinois. Springfield Psychological Center, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Springfield Psychological Center, Llc is 1174749881. The last update date is 2017-01-12.

Springfield Psychological Center, Llc's current location address is 2325 W White Oaks Dr, Springfield, Illinois. You can contact this provider via phone number 2177933949 and fax number 2177933995. The mailing address for Springfield Psychological Center, Llc is 2325 W White Oaks Dr, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Springfield Psychological Center, Llc
Address 2325 W White Oaks Dr, Springfield, Illinois
Phone Number 2177933949
Fax Number 2177933995
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PARTNER
Authorized Official Name Paoni Fisher Melissa
Credentials PH.D.
Telephone Number 2177933949

NPI Number Detail

NPI Number 1174749881
Provider Enumeration Date 2007-04-18
Last Updated Date 2017-01-12

Provider Mailing Address Detail

Address 2325 W White Oaks Dr
City Springfield
State Illinois (IL)
Post Code 627047419
Phone Number 2177933949
Fax Number 2177933995

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 71003515
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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FAQs about Springfield Psychological Center, Llc

What is the Springfield Psychological Center, Llc's 1174749881?

The Springfield Psychological Center, Llc's NPI (National Provider Identifier) Number is 1174749881. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Springfield Psychological Center, Llc is located?

The Springfield Psychological Center, Llc is situated at the following address: 2325 W White Oaks Dr, Springfield, IL, 627047419.

What is Springfield Psychological Center, Llc's area of expertise and its corresponding taxonomy classification?

The Springfield Psychological Center, Llc'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 did the Centers for Medicare & Medicaid Services issue the 1174749881 to Springfield Psychological Center, Llc?

The Springfield Psychological Center, Llc received its 1174749881 assignment from the Centers for Medicare & Medicaid Services on 2007-04-18.

As of what date was the information regarding Springfield Psychological Center, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Springfield Psychological Center, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-01-12.

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