| Solway Psychology Llc | |
|
4424 N Ravenswood Ave Apt A Chicago IL 60640-5803 | |
| (678) 765-9294 | |
| Not Available |
| Full Name | Solway Psychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4424 N Ravenswood Ave Apt A, Chicago, Illinois |
| Authorized Official Name and Position | Seth Solway (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8602870948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solway Psychology Llc 4424 N Ravenswood Ave Apt A Chicago IL 60640-5803 Ph: (678) 765-9294 | Solway Psychology Llc 4424 N Ravenswood Ave Apt A Chicago IL 60640-5803 Ph: (678) 765-9294 |
| NPI Number | 1083191753 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Medicare PECOS PAC ID | 6204245954 |
|---|---|
| Medicare Enrollment ID | O20210510000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083191753 | NPI | - | NPPES |
| 1184017394 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Seth D Solway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184017394 PECOS PAC ID: 6507149481 Enrollment ID: I20170424000484 |
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