MEDICARE: PERSON-CENTERED 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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1801574827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSON-CENTERED PSYCHOLOGICAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	130 N WYNSTONE DR
Second Line	:
City	:	NORTH BARRINGTON
State	:	IL
Zip	:	60010-6944
Country	:	US
Telephone Number	:	773-231-7715
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 N WYNSTONE DR
Second Line	:
City	:	NORTH BARRINGTON
State	:	IL
Zip	:	60010-6944
Country	:	US
Telephone Number	:	773-231-7715
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARGARET WARNER
Credential	:	PHD
Telephone Number	:	773-231-7715

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	07/10/2023

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