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1534 Harvey Ave Berwyn IL 60402-1411 | |
| (630) 788-4585 | |
| (630) 929-7570 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 1534 Harvey Ave, Berwyn, Illinois |
| Authorized Official Name and Position | Melody Middleton Linnear (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 6307884585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1534 Harvey Ave Berwyn IL 60402-1411 Ph: (630) 788-4585 | 1534 Harvey Ave Berwyn IL 60402-1411 Ph: (630) 788-4585 |
| NPI Number | 1780400242 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780400242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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