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General NPI Number Information
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NPI Number | 1821306549
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Entity Type | Organization
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Legal Business Name | TRICIA MCKINNEY, PSY,D., LTD
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 2030 E ALGONQUIN RD
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4188
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Country | US
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Telephone | 847-306-9623
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Fax |
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Provider Business Mailing Address
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Address Line | 1722 N WATERMAN AVE
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-4252
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. TRICIA MCKINNEY
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Credential |
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Telephone | 847-791-2851
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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 | 071.007795
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149007413
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.007472
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License Number State | IL
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