Hoffmann Burchett Psychological Services, Llc | |
205 N Williamsburg Dr Suite F Bloomington IL 61704-7706 | |
(309) 830-8099 | |
(309) 454-5153 |
Full Name | Hoffmann Burchett Psychological Services, Llc |
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Speciality | Psychologist |
Location | 205 N Williamsburg Dr, Bloomington, Illinois |
Authorized Official Name and Position | Christina M. Burchett (LICENSED CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 3098308099 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hoffmann Burchett Psychological Services, Llc 205 N Williamsburg Dr Suite F Bloomington IL 61704-7706 Ph: (309) 830-8099 | Hoffmann Burchett Psychological Services, Llc 205 N Williamsburg Dr Suite F Bloomington IL 61704-7706 Ph: (309) 830-8099 |
NPI Number | 1477860609 |
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Provider Enumeration Date | 09/09/2010 |
Last Update Date | 02/07/2011 |
Medicare PECOS PAC ID | 7810189610 |
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Medicare Enrollment ID | O20101012001054 |
Identifier | Type | State | Issuer |
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1477860609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 0071006988 (Illinois) | Primary |
Provider Name | Christina M Burchett |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134238264 PECOS PAC ID: 3476657362 Enrollment ID: I20070403000070 |
Provider Name | Jolie M Hoffmann |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144243882 PECOS PAC ID: 2567654569 Enrollment ID: I20101008000746 |
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