Mindful Psychology Associates Pc | |
636 Church St. Ste. 510 Evanston IL 60201-4508 | |
(847) 864-0600 | |
(847) 859-6996 |
Full Name | Mindful Psychology Associates Pc |
---|---|
Speciality | Psychologist - Clinical |
Location | 636 Church St., Evanston, Illinois |
Authorized Official Name and Position | Jennifer C. Panning (PRESIDENT) |
Authorized Official Contact | 8478640600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mindful Psychology Associates Pc 636 Church St Ste 520 Evanston IL 60201-4581 Ph: (847) 864-0600 | Mindful Psychology Associates Pc 636 Church St. Ste. 510 Evanston IL 60201-4508 Ph: (847) 864-0600 |
NPI Number | 1326440454 |
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Provider Enumeration Date | 09/19/2014 |
Last Update Date | 04/06/2022 |
Certification Date | 04/06/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326440454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 71-006778 (Illinois) | Secondary |
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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