| Psycats, Pc | |
|
1230 Main St Crete IL 60417-2145 | |
| (708) 917-0232 | |
| (708) 672-4418 |
| Full Name | Psycats, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1230 Main St, Crete, Illinois |
| Authorized Official Name and Position | Judith A Dygdon (PRESIDENT) |
| Authorized Official Contact | 7089170232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psycats, Pc 1230 Main St Crete IL 60417-2145 Ph: (708) 917-0232 | Psycats, Pc 1230 Main St Crete IL 60417-2145 Ph: (708) 917-0232 |
| NPI Number | 1770964348 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 06/09/2015 |
| Medicare PECOS PAC ID | 2466763396 |
|---|---|
| Medicare Enrollment ID | O20150619000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770964348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-003775 (Illinois) | Primary |
| Provider Name | Judith A. Dygdon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689075947 PECOS PAC ID: 0244555159 Enrollment ID: I20150619000095 |
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