Associated Psychologists | |
302 S Kitchell Ave Olney IL 62450-1500 | |
(618) 392-2725 | |
Not Available |
Full Name | Associated Psychologists |
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Speciality | Psychologist - Clinical |
Location | 302 S Kitchell Ave, Olney, Illinois |
Authorized Official Name and Position | Randall R Masterson (ASSOCIATE) |
Authorized Official Contact | 6183922725 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Associated Psychologists 302 S Kitchell Ave Olney IL 62450-1500 Ph: (618) 392-2725 | Associated Psychologists 302 S Kitchell Ave Olney IL 62450-1500 Ph: (618) 392-2725 |
NPI Number | 1659550879 |
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Provider Enumeration Date | 10/24/2007 |
Last Update Date | 02/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659550879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071.006994 (Illinois) | Primary |
103TS0200X | Psychologist - School | 969847 (Illinois) | Secondary |
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