| Kathy Nugent Phd Llc | |
|
60 Revere Dr Suite 100 Northbrook IL 60062-1563 | |
| (847) 845-2100 | |
| Not Available |
| Full Name | Kathy Nugent Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 60 Revere Dr, Northbrook, Illinois |
| Authorized Official Name and Position | Kathleen M Nugent (MANAGING MEMBER) |
| Authorized Official Contact | 8478452100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Nugent Phd Llc Po Box 506 Northbrook IL 60065-0506 Ph: (847) 845-2100 | Kathy Nugent Phd Llc 60 Revere Dr Suite 100 Northbrook IL 60062-1563 Ph: (847) 845-2100 |
| NPI Number | 1487022141 |
|---|---|
| Provider Enumeration Date | 09/10/2015 |
| Last Update Date | 09/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487022141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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