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General NPI Number Information
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NPI Number | 1891582706
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Entity Type | Organization
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Legal Business Name | COGNITIVE BALANCE PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 2333 WAUKEGAN RD STE 275
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City | BANNOCKBURN
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State | IL
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Zip | 60015-1574
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Country | US
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Telephone | 773-484-7931
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 WAUKEGAN RD STE 275
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City | BANNOCKBURN
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State | IL
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Zip | 60015-1574
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Country | US
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Telephone | 773-484-7931
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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. ANNE M SCHRAYER
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Credential | PSYD
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Telephone | 773-484-7831
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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 |
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License Number State |
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