Katherine Fruhauff, Psyd, Inc. | |
2530 Crawford Ave Ste 104 Evanston IL 60201-4954 | |
(224) 408-0019 | |
Not Available |
Full Name | Katherine Fruhauff, Psyd, Inc. |
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Speciality | Clinic/Center |
Location | 2530 Crawford Ave Ste 104, Evanston, Illinois |
Authorized Official Name and Position | Katie Fruhauff (OWNER) |
Authorized Official Contact | 2244080019 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Katherine Fruhauff, Psyd, Inc. 2138 Brummel St Evanston IL 60202-3608 Ph: (847) 219-2615 | Katherine Fruhauff, Psyd, Inc. 2530 Crawford Ave Ste 104 Evanston IL 60201-4954 Ph: (224) 408-0019 |
NPI Number | 1659842417 |
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Provider Enumeration Date | 12/05/2018 |
Last Update Date | 02/28/2019 |
Medicare PECOS PAC ID | 4981945615 |
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Medicare Enrollment ID | O20190408000912 |
Identifier | Type | State | Issuer |
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1659842417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Katherine R Fruhauff |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1285804757 PECOS PAC ID: 7719035336 Enrollment ID: I20090507000597 |
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