Victoria Reid Phd Ltd | |
15255 S 94th Ave Orland Park IL 60462-3800 | |
(708) 479-6522 | |
(708) 586-6461 |
Full Name | Victoria Reid Phd Ltd |
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Speciality | Psychologist |
Location | 15255 S 94th Ave, Orland Park, Illinois |
Authorized Official Name and Position | Victoria Reid (PRESIDENT) |
Authorized Official Contact | 7084782372 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Victoria Reid Phd Ltd 15020 S Ravinia Ave Ste 23 Orland Park IL 60462-5352 Ph: (708) 478-2372 | Victoria Reid Phd Ltd 15255 S 94th Ave Orland Park IL 60462-3800 Ph: (708) 479-6522 |
NPI Number | 1891065561 |
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Provider Enumeration Date | 01/11/2012 |
Last Update Date | 05/06/2015 |
Medicare PECOS PAC ID | 3779746029 |
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Medicare Enrollment ID | O20120523000599 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891065561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TH0004X | Psychologist - Health | 071005245 (Illinois) | Primary |
Provider Name | Victoria J Reid |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1922131622 PECOS PAC ID: 0345147336 Enrollment ID: I20040105000275 |
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