Daniel Piper Llc | |
3513 Wisteria Dr Crystal Lake IL 60012-1348 | |
(312) 391-8091 | |
Not Available |
Full Name | Daniel Piper Llc |
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Speciality | Psychologist - Clinical |
Location | 3513 Wisteria Dr, Crystal Lake, Illinois |
Authorized Official Name and Position | Daniel Lee Piper (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 3123918091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Daniel Piper Llc 3513 Wisteria Dr Crystal Lake IL 60012-1348 Ph: (312) 391-8091 | Daniel Piper Llc 3513 Wisteria Dr Crystal Lake IL 60012-1348 Ph: (312) 391-8091 |
NPI Number | 1295462182 |
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Provider Enumeration Date | 08/02/2022 |
Last Update Date | 08/02/2022 |
Certification Date | 08/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295462182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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