| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 02/15/2017 |
| Medicare PECOS PAC ID | 2466443569 |
|---|---|
| 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 | Shari G Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548349418 PECOS PAC ID: 6103817200 Enrollment ID: I20090605000433 |
| Provider Name | David Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225103401 PECOS PAC ID: 1759372857 Enrollment ID: I20150616002787 |
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