Shoreline Psychotherapy Llc | |
1940 Sherman Ave Ste A Evanston IL 60201 | |
(330) 620-1043 | |
Not Available |
Full Name | Shoreline Psychotherapy Llc |
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Speciality | Marriage & Family Therapist |
Location | 1940 Sherman Ave Ste A, Evanston, Illinois |
Authorized Official Name and Position | Rachel Goldsmith (OWNER/MARRIAGE AND FAMILY THERAPIST) |
Authorized Official Contact | 8478682199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shoreline Psychotherapy Llc 620 Custer Ave Evanston IL 60202-2605 Ph: () - | Shoreline Psychotherapy Llc 1940 Sherman Ave Ste A Evanston IL 60201 Ph: (330) 620-1043 |
NPI Number | 1942714084 |
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Provider Enumeration Date | 11/28/2017 |
Last Update Date | 08/22/2018 |
Identifier | Type | State | Issuer |
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1942714084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | 166.001025 (Illinois) | Primary |
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