| Prairie Psychotherapy Associates, Pc | |
|
1941 S Spring St Springfield IL 62704-3943 | |
| (217) 544-1632 | |
| (217) 544-4543 |
| Full Name | Prairie Psychotherapy Associates, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1941 S Spring St, Springfield, Illinois |
| Authorized Official Name and Position | Lark N Kirchner (PRESIDENT) |
| Authorized Official Contact | 2175441632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Psychotherapy Associates, Pc 1941 S Spring St Springfield IL 62704-3943 Ph: (217) 544-1632 | Prairie Psychotherapy Associates, Pc 1941 S Spring St Springfield IL 62704-3943 Ph: (217) 544-1632 |
| NPI Number | 1922010537 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922010537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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