| Delta Behavioral Health Llc | |
|
2132 Deep Water Ln Ste 104 Naperville IL 60564-8566 | |
| (630) 297-7757 | |
| Not Available |
| Full Name | Delta Behavioral Health Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2132 Deep Water Ln Ste 104, Naperville, Illinois |
| Authorized Official Name and Position | Karen Rosian (OWNER) |
| Authorized Official Contact | 7733390845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Behavioral Health Llc 2132 Deep Water Ln Ste 104 Naperville IL 60564-8566 Ph: () - | Delta Behavioral Health Llc 2132 Deep Water Ln Ste 104 Naperville IL 60564-8566 Ph: (630) 297-7757 |
| NPI Number | 1639881162 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Medicare PECOS PAC ID | 7315319910 |
|---|---|
| Medicare Enrollment ID | O20230208000901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639881162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Karen M Rosian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295023570 PECOS PAC ID: 8224275821 Enrollment ID: I20130517000343 |
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