| Graceway Psychology Group, Llc | |
|
201 W Springfield Ave Ste 211 Champaign IL 61820-4880 | |
| (217) 621-6180 | |
| Not Available |
| Full Name | Graceway Psychology Group, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 201 W Springfield Ave Ste 211, Champaign, Illinois |
| Authorized Official Name and Position | Weimin Grace Blocher (OWNER) |
| Authorized Official Contact | 2176216180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceway Psychology Group, Llc Po Box 2257 Chesterton IN 46304-0357 Ph: (219) 926-8320 | Graceway Psychology Group, Llc 201 W Springfield Ave Ste 211 Champaign IL 61820-4880 Ph: (217) 621-6180 |
| NPI Number | 1275900896 |
|---|---|
| Provider Enumeration Date | 08/31/2015 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275900896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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