| Magnolia Psychological Associates, Inc. | |
|
2530 Crawford Ave Ste 203 Evanston IL 60201-4959 | |
| (630) 534-3122 | |
| Not Available |
| Full Name | Magnolia Psychological Associates, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2530 Crawford Ave Ste 203, Evanston, Illinois |
| Authorized Official Name and Position | Erika Knuth (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6305343122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Psychological Associates, Inc. Po Box 402 Skokie IL 60076-0402 Ph: (630) 534-3122 | Magnolia Psychological Associates, Inc. 2530 Crawford Ave Ste 203 Evanston IL 60201-4959 Ph: (630) 534-3122 |
| NPI Number | 1760981740 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760981740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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