| Agape Psychology Center | |
|
28 E Burlington St Riverside IL 60546-2125 | |
| (708) 788-3447 | |
| (708) 788-4471 |
| Full Name | Agape Psychology Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 28 E Burlington St, Riverside, Illinois |
| Authorized Official Name and Position | Margaret Nelson Pechota (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7087883447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Psychology Center 3428 Oak Park Ave Berwyn IL 60402-3617 Ph: (708) 788-3447 | Agape Psychology Center 28 E Burlington St Riverside IL 60546-2125 Ph: (708) 788-3447 |
| NPI Number | 1942580790 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 08/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942580790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.000658 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.007029 (Illinois) | Primary |
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