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Contact Information

ASSOCIATED CLINICAL PSYCHOLOGISTS, LTD
1580 N NORTHWEST HWY
SUITE 311D
PARK RIDGE, IL60068-1444
 Phone: 847-824-1235
 Fax: 847-824-2386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for ASSOCIATED CLINICAL PSYCHOLOGISTS LTD · (Female)

NPI Number 1578665147
Status Active
Credentials
Entity Individual
Enumeration date 09/02/2006
Last updated 08/15/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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