| Tandem Psychology Llc | |
|
3354 N Paulina St 205 Chicago IL 60657-1068 | |
| (773) 273-9719 | |
| Not Available |
| Full Name | Tandem Psychology Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3354 N Paulina St, Chicago, Illinois |
| Authorized Official Name and Position | Tyler Fortman (OWNER) |
| Authorized Official Contact | 6142735372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tandem Psychology Llc 3354 N Paulina St 205 Chicago IL 60657-1068 Ph: (773) 273-9719 | Tandem Psychology Llc 3354 N Paulina St 205 Chicago IL 60657-1068 Ph: (773) 273-9719 |
| NPI Number | 1811348485 |
|---|---|
| Provider Enumeration Date | 06/24/2016 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811348485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008865 (Illinois) | Primary |
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