| Center For Psychodynamic Psychotherapy, Inc. | |
|
400 Linden Ave Ste 2 Wilmette IL 60091-2883 | |
| (847) 906-4303 | |
| Not Available |
| Full Name | Center For Psychodynamic Psychotherapy, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 400 Linden Ave Ste 2, Wilmette, Illinois |
| Authorized Official Name and Position | John Cortney Knapp (PRESIDENT) |
| Authorized Official Contact | 8479064303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Psychodynamic Psychotherapy, Inc. 400 Linden Ave Ste 2 Wilmette IL 60091-2883 Ph: (847) 906-4303 | Center For Psychodynamic Psychotherapy, Inc. 400 Linden Ave Ste 2 Wilmette IL 60091-2883 Ph: (847) 906-4303 |
| NPI Number | 1417425182 |
|---|---|
| Provider Enumeration Date | 11/11/2018 |
| Last Update Date | 11/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417425182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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