Bash Psychotherapy Corporation | |
413 E Berry Rd Barrington IL 60010-3317 | |
(847) 542-5687 | |
Not Available |
Full Name | Bash Psychotherapy Corporation |
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Speciality | Clinic/Center |
Location | 413 E Berry Rd, Barrington, Illinois |
Authorized Official Name and Position | Amy H Bash (OWNER) |
Authorized Official Contact | 8475425687 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bash Psychotherapy Corporation 413 E Berry Rd Barrington IL 60010-3317 Ph: (847) 542-5687 | Bash Psychotherapy Corporation 413 E Berry Rd Barrington IL 60010-3317 Ph: (847) 542-5687 |
NPI Number | 1508479288 |
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Provider Enumeration Date | 08/24/2020 |
Last Update Date | 08/24/2020 |
Certification Date | 08/24/2020 |
Medicare PECOS PAC ID | 3173933363 |
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Medicare Enrollment ID | O20201028002679 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508479288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Amy H Bash |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114196730 PECOS PAC ID: 8820213291 Enrollment ID: I20140627002004 |
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