| Harvard Psychology And Associates | |
|
107 E Sumner St Suite 1 Harvard IL 60033-2840 | |
| (815) 814-4193 | |
| (815) 943-6540 |
| Full Name | Harvard Psychology And Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 107 E Sumner St, Harvard, Illinois |
| Authorized Official Name and Position | Elizabeth Sukowicz (OWNER) |
| Authorized Official Contact | 8158144193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvard Psychology And Associates 107 E Sumner St Suite 1 Harvard IL 60033-2840 Ph: (815) 814-4193 | Harvard Psychology And Associates 107 E Sumner St Suite 1 Harvard IL 60033-2840 Ph: (815) 814-4193 |
| NPI Number | 1205376043 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 02/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205376043 | NPI | - | NPPES |
| 1134215130 | Other | IL | INDIVIDUAL NPI |
| 345468451001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006392 (Illinois) | Primary |
Association For Individual Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 E Diggins St, Harvard, IL 60033 Phone: 847-931-2340 Fax: 815-344-2497 | |
Illinois Geriatric Psychological Services P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 4th St, Harvard, IL 60033 Phone: 815-212-3209 | |
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