Psychological Services Center | |
408 Fairchild Hall Campus Box 4625 Normal IL 61790 | |
(309) 438-5629 | |
(309) 438-7476 |
Full Name | Psychological Services Center |
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Speciality | Psychologist - Clinical |
Location | 408 Fairchild Hall, Normal, Illinois |
Authorized Official Name and Position | Brenda Jane Huber (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 3094385629 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychological Services Center 408 Fairchild Hall Campus Box 4625 Normal IL 61790 Ph: (309) 438-5629 | Psychological Services Center 408 Fairchild Hall Campus Box 4625 Normal IL 61790 Ph: (309) 438-5629 |
NPI Number | 1770615502 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1770615502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
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