| Kiva Psychological Services Llc | |
|
636 Church St Ste 507 Evanston IL 60201-4581 | |
| (847) 686-1803 | |
| Not Available |
| Full Name | Kiva Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 636 Church St Ste 507, Evanston, Illinois |
| Authorized Official Name and Position | Brooke Halpern (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 8476861803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiva Psychological Services Llc 636 Church St Ste 507 Evanston IL 60201-4581 Ph: (847) 686-1803 | Kiva Psychological Services Llc 636 Church St Ste 507 Evanston IL 60201-4581 Ph: (847) 686-1803 |
| NPI Number | 1205468410 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205468410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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