| Thrive Child Psychology, Llc | |
|
2103 E Washington St Ste 1d Bloomington IL 61701-4365 | |
| (941) 416-1743 | |
| Not Available |
| Full Name | Thrive Child Psychology, Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 2103 E Washington St Ste 1d, Bloomington, Illinois |
| Authorized Official Name and Position | Brittany Wade (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9414161743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Child Psychology, Llc 5116 Longfield Rd Bloomington IL 61705-9503 Ph: (941) 416-1743 | Thrive Child Psychology, Llc 2103 E Washington St Ste 1d Bloomington IL 61701-4365 Ph: (941) 416-1743 |
| NPI Number | 1639781255 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 08/17/2020 |
| Certification Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639781255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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