| The Brain Boutique, Pllc | |
|
50 S Main St Ste 200 Naperville IL 60540-5485 | |
| (773) 401-0495 | |
| Not Available |
| Full Name | The Brain Boutique, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 50 S Main St Ste 200, Naperville, Illinois |
| Authorized Official Name and Position | Amanda Schnibben (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7734010495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Brain Boutique, Pllc 815 Georgetown Drive, Oswego, Il, Usa Oswego IL 60543-5485 Ph: (773) 401-0495 | The Brain Boutique, Pllc 50 S Main St Ste 200 Naperville IL 60540-5485 Ph: (773) 401-0495 |
| NPI Number | 1942899356 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 10/24/2022 |
| Certification Date | 04/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942899356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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