Angel Buchanan, Ph.D. LLC
Psychologist, Clinical in Wilmette, IL. Organization (NPI-2).
NPI number1831787902
StatusActive
Last updated in NPPESJan 5, 2021
Details
- NPI
- 1831787902
- Entity type
- Organization (NPI-2)
- Legal business name
- Angel Buchanan, Ph.D. LLC
- Organization subpart
- No
- Enumeration date
- Jan 5, 2021
- Certification date
- Jan 5, 2021
- Last updated
- Jan 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
115 15th StWilmette, IL 60091-3231
Phone 847-906-3900 · Fax 847-906-3997
Mailing address
Po Box 216Wilmette, IL 60091-0216
Phone 847-906-3900 · Fax 847-906-3997
Authorized official
Angel Buchanan
Clinical Psychologist
8479063900
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