Cbt Center Of Chicago, PLLC
Psychologist, Clinical in Chicago, IL. Organization (NPI-2).
NPI number1790376366
StatusActive
Last updated in NPPESJan 27, 2021
Details
- NPI
- 1790376366
- Entity type
- Organization (NPI-2)
- Legal business name
- Cbt Center Of Chicago, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2021
- Certification date
- Jan 25, 2021
- Last updated
- Jan 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
5620 S Blackstone AveChicago, IL 60637-1828
Phone 773-850-3715 · Fax 773-825-8274
Mailing address
2515 W Lawrence Ave Apt 3nChicago, IL 60625-3679
Phone 847-999-8493
Authorized official
Deepika Anand
Clinical Psychologist/ Owner
8479998493
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