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General NPI Number Information
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NPI Number | 1568088771
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL SERVICES CENTER INC.
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 06/23/2020
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Provider Practice Location Address
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Address Line | 3110 N SHEFFIELD AVE
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City | CHICAGO
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State | IL
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Zip | 60657-6700
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Country | US
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Telephone | 312-550-2705
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Fax |
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Provider Business Mailing Address
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Address Line | 6625 N KOSTNER AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-3524
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Country | US
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Telephone | 312-550-2705
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. KATHLEEN P CUMMINGS
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Credential | M.ED. ED.S. ED.D
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Telephone | 312-550-2705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling 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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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