| John Hardie Phd Clinical Psychologist Llc | |
|
85 Revere Dr Ste G Northbrook IL 60062-8001 | |
| (847) 559-9343 | |
| (773) 913-2395 |
| Full Name | John Hardie Phd Clinical Psychologist Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 85 Revere Dr Ste G, Northbrook, Illinois |
| Authorized Official Name and Position | Yesenia Servin (CREDENTIALING MANANGER) |
| Authorized Official Contact | 7089799082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Hardie Phd Clinical Psychologist Llc 85 Revere Dr Ste G Northbrook IL 60062-8001 Ph: (847) 559-9343 | John Hardie Phd Clinical Psychologist Llc 85 Revere Dr Ste G Northbrook IL 60062-8001 Ph: (847) 559-9343 |
| NPI Number | 1629649157 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629649157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Secondary |
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