Glen Lake Psychological Services, Ltd

NPI #1104271162 in Glenview, Illinois

Provider Information

NPI Number: 1104271162
Entity Type: Organization
Organization Name: Glen Lake Psychological Services, Ltd
Primary Specialty: Psychologist
Enumeration Date: Apr 27, 2016
Last Updated: May 2, 2016

Practice Location

Address: 1701 E LAKE AVE
Address 2: SUITE #370
City: Glenview
State: Illinois
ZIP Code: 60025-2065
Phone: (847) 657-9600

Authorized Official

Name: JAMES FRUEHLING, PHD
Title: OWNER
Phone: (847) 670-0880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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