| Barnett Therapeutic Services, Llc | |
|
708 Church Street Suite 258 Evanston IL 60201 | |
| (312) 771-2520 | |
| Not Available |
| Full Name | Barnett Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 708 Church Street, Evanston, Illinois |
| Authorized Official Name and Position | Laura A. Barnett (OWNER) |
| Authorized Official Contact | 3127712520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barnett Therapeutic Services, Llc 708 Church Street Suite 258 Evanston IL 60201 Ph: (312) 771-2520 | Barnett Therapeutic Services, Llc 708 Church Street Suite 258 Evanston IL 60201 Ph: (312) 771-2520 |
| NPI Number | 1265819254 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265819254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149016107 (Illinois) | Primary |
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