Ascend Consultation In Health Care | |
700 S Gregory St A Urbana IL 61801-3745 | |
(312) 283-2650 | |
Not Available |
Full Name | Ascend Consultation In Health Care |
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Speciality | Psychologist - Clinical |
Location | 700 S Gregory St, Urbana, Illinois |
Authorized Official Name and Position | Sarah Halvorson (DIRECTOR OF CLINICAL SERVICES) |
Authorized Official Contact | 3122832650 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ascend Consultation In Health Care 700 S Gregory St A Urbana IL 61801-3745 Ph: (312) 283-2650 | Ascend Consultation In Health Care 700 S Gregory St A Urbana IL 61801-3745 Ph: (312) 283-2650 |
NPI Number | 1487001426 |
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Provider Enumeration Date | 05/19/2016 |
Last Update Date | 05/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487001426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 071004492 (Illinois) | Primary |
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