| Blount Psychology Incorporated | |
|
1604 Chicago Ave Ste.10 Evanston IL 60201-6017 | |
| (773) 633-0116 | |
| Not Available |
| Full Name | Blount Psychology Incorporated |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1604 Chicago Ave, Evanston, Illinois |
| Authorized Official Name and Position | Melissa Ruth Blount (DIRECTOR/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7736330116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blount Psychology Incorporated 729 Emerson St Apt.2e Evanston IL 60201-3836 Ph: (773) 633-0116 | Blount Psychology Incorporated 1604 Chicago Ave Ste.10 Evanston IL 60201-6017 Ph: (773) 633-0116 |
| NPI Number | 1891920757 |
|---|---|
| Provider Enumeration Date | 05/21/2009 |
| Last Update Date | 10/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891920757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007335 (Illinois) | Primary |
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