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Contact Information

PSYCHOLOGICAL ASSOCIATES PROFESSIONALS LLC
5409 N KNOXVILLE AVE
PEORIA, IL61614
 Phone: 309-691-0420
 Fax: 309-691-0520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PSYCHOLOGICAL ASSOCIATES PROFESSIONALS LLC

NPI Number 1952378192
LBN Legal business name PSYCHOLOGICAL ASSOCIATES PROFESSIONALS LLC
Authorized official DONALD LEGAN - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2006
Last updated 08/17/2017 - About 9 years ago
Identifiers
IL License # 71002085
Other 07220997 BCBS
Other L015956 CHAMPUS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Nearby Therapists
DONALD R LEGAN, EDD
5409 N KNOXVILLE
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