| Consulting & Clinical Psychology | |
|
458 Winnetka Ave #204 Winnetka IL 60093-4266 | |
| (847) 446-0404 | |
| Not Available |
| Full Name | Consulting & Clinical Psychology |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 458 Winnetka Ave, Winnetka, Illinois |
| Authorized Official Name and Position | Richard P Horevitz (OWNER) |
| Authorized Official Contact | 8477760404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consulting & Clinical Psychology 454 Winnetka Ave #204 Winnetka IL 60093 Ph: (847) 446-0404 | Consulting & Clinical Psychology 458 Winnetka Ave #204 Winnetka IL 60093-4266 Ph: (847) 446-0404 |
| NPI Number | 1710086269 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710086269 | NPI | - | NPPES |
| 01632515 | Other | IL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 71006214 (Illinois) | Primary |
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