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General NPI Number Information
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NPI Number | 1871149781
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Entity Type | Organization
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Legal Business Name | HESSED PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 1700 LINCOLN HWY STE J
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City | ST CHARLES
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State | IL
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Zip | 60174-3575
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Country | US
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Telephone | 331-707-4031
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Fax |
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Provider Business Mailing Address
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Address Line | 1358 SANDCHERRY LN
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City | WEST CHICAGO
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State | IL
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Zip | 60185-5973
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Country | US
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Telephone | 630-699-7499
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER - CLINICAL PSYCHOLOGIST
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Name | DR. BENJAMIN AARON PYYKKONEN
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Credential | PHD
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Telephone | 630-699-7499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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