| Signature Consulting And Psychological Services, Inc. | |
|
2210 Dean St Suite I St Charles IL 60175-1066 | |
| (630) 377-1695 | |
| (630) 584-2490 |
| Full Name | Signature Consulting And Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2210 Dean St, St Charles, Illinois |
| Authorized Official Name and Position | David Alan Niekamp (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6303771695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Consulting And Psychological Services, Inc. 2210 Dean St Suite I St Charles IL 60175-1066 Ph: (630) 377-1695 | Signature Consulting And Psychological Services, Inc. 2210 Dean St Suite I St Charles IL 60175-1066 Ph: (630) 377-1695 |
| NPI Number | 1790960763 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 01/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790960763 | NPI | - | NPPES |
| 4532249 | Other | IL | BCBS PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
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