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NPI Code Detail

MEDICARE: INSPIRED MINDS PSYCHOLOGICAL SERVICES PLLC

MEDICARE: INSPIRED MINDS PSYCHOLOGICAL SERVICES PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1164132130
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSPIRED MINDS PSYCHOLOGICAL SERVICES PLLC
Provider Business Mailing Address
First Line : 5406 N PAULINA ST APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60640-0834
Country : US
Telephone Number : 847-346-5365
Fax Number :
Provider Business Practice Location Address
First Line : 5406 N PAULINA ST APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60640-0834
Country : US
Telephone Number : 847-346-5365
Fax Number :
Authorized Official
Title or Position : CO-FOUNDER & PSYCHOLOGIST
Name : DR. TIM DEAN
Credential : PSYD.
Telephone Number : 847-346-5365
Provider Enumeration Date : 12/01/2022
Last Update Date : 12/08/2022

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Directions to “INSPIRED MINDS PSYCHOLOGICAL SERVICES PLLC ” Practice Location

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