MEDICARE: EMPATHY FIRST PSYCHOLOGICAL SERVICES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1710623624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPATHY FIRST PSYCHOLOGICAL SERVICES, PLLC

Provider Business Mailing Address
First Line	:	739 S ROOSEVELT AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2747
Country	:	US
Telephone Number	:	847-903-1707
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 S ARLINGTON HEIGHTS RD STE 110
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-4150
Country	:	US
Telephone Number	:	773-669-4422
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARIANNE CORCORAN
Credential	:	PSYD
Telephone Number	:	847-903-1707

Provider Enumeration Date	:	05/12/2022
Last Update Date	:	05/18/2022

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