| Heart & Mind Therapy, Pllc | |
|
345 Sheridan Rd Highland Park IL 60035-5336 | |
| (773) 580-5198 | |
| Not Available |
| Full Name | Heart & Mind Therapy, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 345 Sheridan Rd, Highland Park, Illinois |
| Authorized Official Name and Position | Paula T. Dicanio (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7735805198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart & Mind Therapy, Pllc 345 Sheridan Rd Highland Park IL 60035-5336 Ph: (773) 580-5198 | Heart & Mind Therapy, Pllc 345 Sheridan Rd Highland Park IL 60035-5336 Ph: (773) 580-5198 |
| NPI Number | 1497333991 |
|---|---|
| Provider Enumeration Date | 03/29/2021 |
| Last Update Date | 04/09/2021 |
| Certification Date | 04/09/2021 |
| Medicare PECOS PAC ID | 9739581166 |
|---|---|
| Medicare Enrollment ID | O20210708000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497333991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Paula T Dicanio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952524019 PECOS PAC ID: 7416935721 Enrollment ID: I20040713000345 |
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