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General NPI Number Information
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NPI Number | 1528460235
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Entity Type | Organization
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Legal Business Name | THE TREE HOUSE CENTER FOR GROWTH AND LEARNING
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 3115 N WILKE RD STE HIO
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1400
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Country | US
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Telephone | 847-975-5598
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Fax | 847-589-4303
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Provider Business Mailing Address
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Address Line | 3115 N WILKE RD STE HIO
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1400
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Country | US
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Telephone | 847-975-5598
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Fax | 847-589-4303
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | CHRISTINE DECKER
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Credential | PSYD
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Telephone | 847-975-5598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071007478
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License Number State | IL
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