| Irving And Associates In Behavioral Health Pc | |
|
5201 Washington St Ste 2 Downers Grove IL 60515-5068 | |
| (630) 241-5689 | |
| Not Available |
| Full Name | Irving And Associates In Behavioral Health Pc |
|---|---|
| Speciality | Psychologist |
| Location | 5201 Washington St Ste 2, Downers Grove, Illinois |
| Authorized Official Name and Position | Kathleen Irving (PRESIDENT) |
| Authorized Official Contact | 6302415689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irving And Associates In Behavioral Health Pc 5201 Washington St Ste 2 Downers Grove IL 60515-5068 Ph: (630) 241-5689 | Irving And Associates In Behavioral Health Pc 5201 Washington St Ste 2 Downers Grove IL 60515-5068 Ph: (630) 241-5689 |
| NPI Number | 1861772428 |
|---|---|
| Provider Enumeration Date | 08/26/2011 |
| Last Update Date | 12/15/2011 |
| Medicare PECOS PAC ID | 7810164720 |
|---|---|
| Medicare Enrollment ID | O20120118000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861772428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | 071005377 (Illinois) | Primary |
| Provider Name | Kathleen Lucille Irving |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972622355 PECOS PAC ID: 3678521481 Enrollment ID: I20050108000097 |
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