| Critchell Psychological Services Pllc | |
|
636 Church St Ste 508 Evanston IL 60201-4581 | |
| (773) 669-8616 | |
| Not Available |
| Full Name | Critchell Psychological Services Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 636 Church St Ste 508, Evanston, Illinois |
| Authorized Official Name and Position | Kelsey Critchell (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7736698616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Critchell Psychological Services Pllc 636 Church St Ste 508 Evanston IL 60201-4581 Ph: (773) 669-8616 | Critchell Psychological Services Pllc 636 Church St Ste 508 Evanston IL 60201-4581 Ph: (773) 669-8616 |
| NPI Number | 1477321164 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477321164 | NPI | - | NPPES |
| 1629517024 | Other | BCBS | |
| 1629517024 | Other | UNITED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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