Taylor Psychological Services Pc | |
1300 W Belmont Ave Suite 115 Chicago IL 60657-3200 | |
(312) 753-9465 | |
(773) 442-0056 |
Full Name | Taylor Psychological Services Pc |
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Speciality | Psychologist - Clinical |
Location | 1300 W Belmont Ave, Chicago, Illinois |
Authorized Official Name and Position | Kristen A Taylor (OWNER/LIC CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 3127539465 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Taylor Psychological Services Pc 1300 W Belmont Ave Suite 115 Chicago IL 60657-3200 Ph: (312) 753-9465 | Taylor Psychological Services Pc 1300 W Belmont Ave Suite 115 Chicago IL 60657-3200 Ph: (312) 753-9465 |
NPI Number | 1063856417 |
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Provider Enumeration Date | 04/28/2013 |
Last Update Date | 05/15/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063856417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071.007840 (Illinois) | Primary |
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