Psychology Specialists Ltd

NPI #1053368605 in Bloomington, Illinois

Provider Information

NPI Number: 1053368605
Entity Type: Organization
Organization Name: Psychology Specialists Ltd
Primary Specialty: Counselor
Enumeration Date: May 28, 2006
Last Updated: Sep 26, 2022

Practice Location

Address: 808 S ELDORADO RD STE 102
City: Bloomington
State: Illinois
ZIP Code: 61704-6075
Phone: (888) 428-7890

Authorized Official

Name: ADAM RUSSO
Title: VP OF OPERATIONS
Phone: (888) 428-7890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Psychologist - Clinical — Clinical	103TC0700X
Social Worker - Clinical — Clinical	1041C0700X

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