| Stacey Belmont, Phd And Associates, Llc | |
|
3166 N Lincoln Ave Suite 217 Chicago IL 60657-3133 | |
| (708) 406-9870 | |
| Not Available |
| Full Name | Stacey Belmont, Phd And Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3166 N Lincoln Ave, Chicago, Illinois |
| Authorized Official Name and Position | Stacey Rj Belmont (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7084069870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Belmont, Phd And Associates, Llc 3166 N Lincoln Ave Suite 217 Chicago IL 60657-3133 Ph: (708) 406-9870 | Stacey Belmont, Phd And Associates, Llc 3166 N Lincoln Ave Suite 217 Chicago IL 60657-3133 Ph: (708) 406-9870 |
| NPI Number | 1013342732 |
|---|---|
| Provider Enumeration Date | 09/12/2013 |
| Last Update Date | 01/28/2014 |
| Medicare PECOS PAC ID | 4284861881 |
|---|---|
| Medicare Enrollment ID | O20131205000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013342732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008266 (Illinois) | Primary |
| Provider Name | Stacey R Johnson Belmont |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396012688 PECOS PAC ID: 7618137100 Enrollment ID: I20120320000712 |
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