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Contact Information

THE BRAIN CLINIC, LLC
417 N MAIN ST
SANDWICH, IL60548-1569
 Phone: 630-649-2819
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adolescent and Children Mental Health

261QM0855X
 

Adult Mental Health

261QM0850X
 

Clinical Neuropsychologist

103G00000X
 

Community/Behavioral Health

251S00000X
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THE BRAIN CLINIC LLC · (Female)

NPI Number 1972117521
Status Active
Credentials
Entity Individual
Enumeration date 09/01/2020
Last updated 12/07/2020 - About 5 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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