| Behavioral Health Center Of Il | |
|
3000 Professional Dr Ste D Bahn Consulting, Inc. Springfield IL 62703-5931 | |
| (217) 679-5379 | |
| (217) 679-5349 |
| Full Name | Behavioral Health Center Of Il |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3000 Professional Dr Ste D, Springfield, Illinois |
| Authorized Official Name and Position | Sara Bahn (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2176795379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Center Of Il 3000 Professional Dr Ste D Springfield IL 62703-5931 Ph: (217) 679-5379 | Behavioral Health Center Of Il 3000 Professional Dr Ste D Bahn Consulting, Inc. Springfield IL 62703-5931 Ph: (217) 679-5379 |
| NPI Number | 1548507817 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548507817 | NPI | - | NPPES |
| 071008460 | Other | IL | PSYCHOLOGIST LICENSE NUMBER |
| 1932408929 | Other | GROUP NPI | |
| 1407163108 | Other | INDIVIDUAL NPI | |
| 3462 | Other | CO | PSYCHOLOGIST LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008460 (Illinois) | Primary |
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