| Long Grove Psychological Associates | |
|
4160 Rfd Ste 307 Long Grove IL 60047-9586 | |
| (630) 235-5876 | |
| Not Available |
| Full Name | Long Grove Psychological Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4160 Rfd Ste 307, Long Grove, Illinois |
| Authorized Official Name and Position | Erin Marie O'donohue (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6302355876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Grove Psychological Associates 515 E 8th Ave Naperville IL 60563-3207 Ph: (630) 235-5876 | Long Grove Psychological Associates 4160 Rfd Ste 307 Long Grove IL 60047-9586 Ph: (630) 235-5876 |
| NPI Number | 1255836896 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 03/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255836896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.007909 (Illinois) | Primary |
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