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General NPI Number Information
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NPI Number | 1952117525
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Entity Type | Organization
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Legal Business Name | INNER KNOWING PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 1712 N WASHTENAW AVE APT 1F
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City | CHICAGO
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State | IL
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Zip | 60647-5243
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Country | US
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Telephone | 410-908-7740
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 W MONTROSE AVE # 676
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City | CHICAGO
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State | IL
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Zip | 60641-2140
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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 | SOLE MEMBER
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Name | DR. CATHERINE ELIZABETH MAYHEW
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Credential | PSY.D.
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Telephone | 410-908-7774
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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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