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NPI Code Detail

MEDICARE: DR. OLIVIA BEERS PSYD

MEDICARE: DR. OLIVIA BEERS PSYD
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
1103TC0700XClinical Psychologist5479-57WI
2103G00000XClinical Neuropsychologist5479-57WI

General Provider Information

NPI Number : 1902769821
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLIVIA BEERS PSYD
Provider Business Mailing Address
First Line : 332 S MICHIGAN AVE STE 900
Second Line :
City : CHICAGO
State : IL
Zip : 60604-4393
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 332 S MICHIGAN AVE STE 900
Second Line :
City : CHICAGO
State : IL
Zip : 60604-4393
Country : US
Telephone Number : 773-231-7715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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