Glendale Psychological Services | |
125 Fairfield Way Ste 280 Bloomingdale IL 60108-1577 | |
(630) 440-5406 | |
(630) 812-0443 |
Full Name | Glendale Psychological Services |
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Speciality | Psychologist - Clinical |
Location | 125 Fairfield Way Ste 280, Bloomingdale, Illinois |
Authorized Official Name and Position | Craig Warren Hjorth (PRES.) |
Authorized Official Contact | 6304405406 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Glendale Psychological Services 125 Fairfield Way Ste 280 Bloomingdale IL 60108-1577 Ph: (630) 440-5406 | Glendale Psychological Services 125 Fairfield Way Ste 280 Bloomingdale IL 60108-1577 Ph: (630) 440-5406 |
NPI Number | 1700197480 |
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Provider Enumeration Date | 06/28/2010 |
Last Update Date | 08/25/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700197480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071003308 (Illinois) | Primary |
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