| Petersen Psychological Services, Llc | |
|
4433 W Touhy Ave Ste 500 Lincolnwood IL 60712-1838 | |
| (847) 863-2943 | |
| Not Available |
| Full Name | Petersen Psychological Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4433 W Touhy Ave Ste 500, Lincolnwood, Illinois |
| Authorized Official Name and Position | Debra Petersen Wolff (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8478632943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petersen Psychological Services, Llc 4433 W Touhy Ave Ste 500 Lincolnwood IL 60712-1838 Ph: (847) 863-2943 | Petersen Psychological Services, Llc 4433 W Touhy Ave Ste 500 Lincolnwood IL 60712-1838 Ph: (847) 863-2943 |
| NPI Number | 1801354345 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 03/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801354345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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