Psychotherapy and Assessment of Hyde Park
Psychotherapy and Assessment of Hyde Park provides Clinical Psychologist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
1525 E 55th St Ste 301BChicago, IL 60615-5512 Not confirmed with CMS for 11 years — call before visiting
Phone: (773) 771-8759
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 071007702 (IL) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 149.015492 (IL) |
Record details
| NPI number | 1699171207 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theresa Gregoire — Managing Member · (773) 771-8759 |
| NPI enumerated | November 10, 2014 |
| Last updated in NPPES | November 10, 2014 |
| Mailing address | 1525 E 55th St, Suite 301b, Chicago, IL 60615-5512 |
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