| Advanced Behavioral Health P C | |
|
8600 Route 91, North Suite 240 Peoria IL 61615 | |
| (309) 683-5094 | |
| (309) 683-5095 |
| Full Name | Advanced Behavioral Health P C |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8600 Route 91, North, Peoria, Illinois |
| Authorized Official Name and Position | Lisa Lynne Rogers (PRESIDENT CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3096489587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Health P C 20607 N Fawn Ct Chillicothe IL 61523-9761 Ph: (309) 648-9587 | Advanced Behavioral Health P C 8600 Route 91, North Suite 240 Peoria IL 61615 Ph: (309) 683-5094 |
| NPI Number | 1346462850 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346462850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
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