Brenda Ann Husfeldt Phd Ltd | |
9933 Lawler Ave Suite 314 Skokie IL 60077-3703 | |
(773) 775-1622 | |
Not Available |
Full Name | Brenda Ann Husfeldt Phd Ltd |
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Speciality | Psychologist |
Location | 9933 Lawler Ave, Skokie, Illinois |
Authorized Official Name and Position | Brenda Ann Husfeldt (PHD LTD) |
Authorized Official Contact | 7737751622 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brenda Ann Husfeldt Phd Ltd 6547 N Avondale Ave Suite 001 Chicago IL 60631-1573 Ph: (773) 775-1622 | Brenda Ann Husfeldt Phd Ltd 9933 Lawler Ave Suite 314 Skokie IL 60077-3703 Ph: (773) 775-1622 |
NPI Number | 1497875033 |
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Provider Enumeration Date | 03/29/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7719903459 |
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Medicare Enrollment ID | O20051021000175 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497875033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (Illinois) | Primary |
Provider Name | Brenda A Husfeldt |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1487723367 PECOS PAC ID: 9830161132 Enrollment ID: I20040809000031 |
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