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General NPI Number Information
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NPI Number | 1255908547
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Entity Type | Organization
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Legal Business Name | BECCA MEYER, PSY.D. PLLC
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 12/05/2021
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Provider Practice Location Address
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Address Line | 552 LINCOLN AVE STE 205
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City | WINNETKA
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State | IL
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Zip | 60093-2353
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Country | US
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Telephone | 312-282-4448
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Fax |
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Provider Business Mailing Address
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Address Line | 622 WASHINGTON AVE
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City | WILMETTE
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State | IL
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Zip | 60091-1970
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Country | US
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Telephone | 312-282-4448
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. REBECCA MEYER
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Credential | PSY.D.
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Telephone | 312-282-4448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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