| Terri Christiansen, Ph.d., Ltd. | |
|
10623 Rachel Ln Orland Park IL 60467-1375 | |
| (708) 942-7479 | |
| (708) 221-6126 |
| Full Name | Terri Christiansen, Ph.d., Ltd. |
|---|---|
| Speciality | Psychologist |
| Location | 10623 Rachel Ln, Orland Park, Illinois |
| Authorized Official Name and Position | Terri F Christiansen (PSYCHOLOGIST) |
| Authorized Official Contact | 7089427479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terri Christiansen, Ph.d., Ltd. 10623 Rachel Ln Orland Park IL 60467-1375 Ph: (708) 942-7479 | Terri Christiansen, Ph.d., Ltd. 10623 Rachel Ln Orland Park IL 60467-1375 Ph: (708) 942-7479 |
| NPI Number | 1619098282 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Medicare PECOS PAC ID | 3072501923 |
|---|---|
| Medicare Enrollment ID | O20040501000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619098282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-005624 (Illinois) | Primary |
| Provider Name | Terri F Christiansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972652170 PECOS PAC ID: 7416945365 Enrollment ID: I20040501000102 |
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