Amy Bazelon Lcpc, LLC
NPI #1124521430 in Highland Park, Illinois
Provider Information
- NPI Number
- 1124521430
- Entity Type
- Organization
- Organization Name
- Amy Bazelon Lcpc, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 13, 2018
- Last Updated
- Oct 28, 2021
Practice Location
- Address
- 839 MOSELEY RD
- City
- Highland Park
- State
- Illinois
- ZIP Code
- 60035-4635
- Phone
- (847) 707-5424
Authorized Official
- Name
- AMY BAZELON, LCPC
- Title
- MEMBER
- Phone
- (847) 707-5424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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