Lina Liu, Psy.d., Inc. | |
318 Laurel Ave Des Plaines IL 60016-4370 | |
(847) 867-7839 | |
Not Available |
Full Name | Lina Liu, Psy.d., Inc. |
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Speciality | Psychologist |
Location | 318 Laurel Ave, Des Plaines, Illinois |
Authorized Official Name and Position | Lina Liu (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8478677839 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lina Liu, Psy.d., Inc. 318 Laurel Ave Des Plaines IL 60016-4370 Ph: (847) 867-7839 | Lina Liu, Psy.d., Inc. 318 Laurel Ave Des Plaines IL 60016-4370 Ph: (847) 867-7839 |
NPI Number | 1649646845 |
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Provider Enumeration Date | 08/11/2015 |
Last Update Date | 08/13/2015 |
Medicare PECOS PAC ID | 6800215161 |
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Medicare Enrollment ID | O20201006001742 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649646845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Lina Liu |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1902178742 PECOS PAC ID: 3274792247 Enrollment ID: I20120310000008 |
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