Associates In Therapy And Assessment, Llc | |
900 North Shore Dr. Suite 200 Lake Bluff IL 60044-2225 | |
(847) 295-6141 | |
(888) 765-7036 |
Full Name | Associates In Therapy And Assessment, Llc |
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Speciality | Psychologist |
Location | 900 North Shore Dr., Lake Bluff, Illinois |
Authorized Official Name and Position | David Hanson (CO-OWNER) |
Authorized Official Contact | 8472956141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Associates In Therapy And Assessment, Llc 900 North Shore Dr. Suite 200 Lake Bluff IL 60044-2225 Ph: (847) 295-6141 | Associates In Therapy And Assessment, Llc 900 North Shore Dr. Suite 200 Lake Bluff IL 60044-2225 Ph: (847) 295-6141 |
NPI Number | 1619035730 |
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Provider Enumeration Date | 12/04/2006 |
Last Update Date | 02/15/2017 |
Medicare PECOS PAC ID | 2466443569 |
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Medicare Enrollment ID | O20090605000438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619035730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Provider Name | David Hanson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1225103401 PECOS PAC ID: 1759372857 Enrollment ID: I20150616002787 |
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