| Bedrock Psychology Group, Pllc | |
|
1622 Willow Rd Ste 101 Northfield IL 60093-3450 | |
| (773) 389-2352 | |
| Not Available |
| Full Name | Bedrock Psychology Group, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1622 Willow Rd Ste 101, Northfield, Illinois |
| Authorized Official Name and Position | Paul Losoff (FOUNDER / CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7733892352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedrock Psychology Group, Pllc 1063 Forest Ave Deerfield IL 60015-2920 Ph: (773) 575-0466 | Bedrock Psychology Group, Pllc 1622 Willow Rd Ste 101 Northfield IL 60093-3450 Ph: (773) 389-2352 |
| NPI Number | 1407604291 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407604291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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