Midwestern Psychological Consultants, Ltd | |
6201 W Main St Suite 130 Maryville IL 62062-6870 | |
(618) 979-5087 | |
(618) 504-1160 |
Full Name | Midwestern Psychological Consultants, Ltd |
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Speciality | Psychologist |
Location | 6201 W Main St, Maryville, Illinois |
Authorized Official Name and Position | Robin Lee Myers (OWNER) |
Authorized Official Contact | 6189795087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midwestern Psychological Consultants, Ltd 6201 W Main St Suite 130 Maryville IL 62062-6870 Ph: (618) 979-5087 | Midwestern Psychological Consultants, Ltd 6201 W Main St Suite 130 Maryville IL 62062-6870 Ph: (618) 979-5087 |
NPI Number | 1487195582 |
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Provider Enumeration Date | 03/09/2017 |
Last Update Date | 03/09/2017 |
Medicare PECOS PAC ID | 5496187122 |
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Medicare Enrollment ID | O20191118001406 |
Identifier | Type | State | Issuer |
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1487195582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 071006112 (Illinois) | Primary |
Provider Name | Robin L Myers |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1528103108 PECOS PAC ID: 2163505991 Enrollment ID: I20080215000662 |
Provider Name | Steven J Byrnes |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144218785 PECOS PAC ID: 0648426783 Enrollment ID: I20231102001732 |
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