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Contact Information

MB CLINICAL PSYCHOLOGY & CONSULTING, LLC
4633 N WESTERN AVE STE 205
CHICAGO, IL60625-2087
 Phone: 312-476-9588
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MB CLINICAL PSYCHOLOGY CONSULTING LLC · (Female)

NPI # 1700499209
Status Active
Credentials
Entity Individual
Enumeration date 08/25/2020
Last updated 08/25/2020 - About 6 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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