| Mary E Halpin Phd Pc | |
|
420 Lake Cook Rd Suite 109 Deerfield IL 60015-5646 | |
| (847) 317-1133 | |
| Not Available |
| Full Name | Mary E Halpin Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 420 Lake Cook Rd, Deerfield, Illinois |
| Authorized Official Name and Position | Mary E Halpin (OWNER) |
| Authorized Official Contact | 8473171133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Halpin Phd Pc Po Box 387 Addison IL 60101-0387 Ph: (847) 317-1133 | Mary E Halpin Phd Pc 420 Lake Cook Rd Suite 109 Deerfield IL 60015-5646 Ph: (847) 317-1133 |
| NPI Number | 1639274715 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0042318735 |
|---|---|
| Medicare Enrollment ID | O20070604000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639274715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | Mary E Halpin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093810178 PECOS PAC ID: 3779681465 Enrollment ID: I20070604000425 |
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