West Suburban Psychotherapy Assoc,Inc in Wheaton - Clinical
West Suburban Psychotherapy Assoc,Inc - NPI 1497947386
West Suburban Psychotherapy Assoc,Inc is a Clinical in Wheaton, Illinois. West Suburban Psychotherapy Assoc,Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for West Suburban Psychotherapy Assoc,Inc is 1497947386. The last update date is 2008-06-10.
West Suburban Psychotherapy Assoc,Inc's current location address is 1751 S Naperville Rd, Wheaton, Illinois. You can contact this provider via phone number 6304800434. The mailing address for West Suburban Psychotherapy Assoc,Inc is 1751 S Naperville Rd, Wheaton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Suburban Psychotherapy Assoc,Inc |
|---|---|
| Address | 1751 S Naperville Rd, Wheaton, Illinois |
| Phone Number | 6304800434 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Perdew Lee Patricia |
| Credentials | LCSW |
| Telephone Number | 6304800434 |
NPI Number Detail
| NPI Number | 1497947386 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2008-06-10 |
Provider Mailing Address Detail
| Address | 1751 S Naperville Rd |
|---|---|
| City | Wheaton |
| State | Illinois (IL) |
| Post Code | 601878196 |
| Phone Number | 6304800434 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149012099 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the West Suburban Psychotherapy Assoc,Inc's unique identification number?
The West Suburban Psychotherapy Assoc,Inc has been assigned the NPI (National Provider Identifier) Number 1497947386 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the West Suburban Psychotherapy Assoc,Inc located?
The West Suburban Psychotherapy Assoc,Inc is located at 1751 S Naperville Rd, Wheaton, IL 601878196.
What is West Suburban Psychotherapy Assoc,Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The West Suburban Psychotherapy Assoc,Inc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the West Suburban Psychotherapy Assoc,Inc receive the assignment of its 1497947386 from the Centers for Medicare & Medicaid Services?
The West Suburban Psychotherapy Assoc,Inc was issued its 1497947386 by the Centers for Medicare & Medicaid Services on 2007-08-14.
As of what date were the details pertaining to West Suburban Psychotherapy Assoc,Inc last refreshed?
The information related to the West Suburban Psychotherapy Assoc,Inc, including its address, specialty, and other relevant details, was last updated on 2008-06-10.