Center for Psychology and Wellness, P.c.

NPI #1194113357 in Northbrook, Illinois

Provider Information

NPI Number: 1194113357
Entity Type: Organization
Organization Name: Center for Psychology and Wellness, P.c.
Primary Specialty: Psychologist
Enumeration Date: Dec 22, 2014
Last Updated: Dec 22, 2014

Practice Location

Address: 601 SKOKIE BLVD
Address 2: SUITE #LL-5D
City: Northbrook
State: Illinois
ZIP Code: 60062-2851
Phone: (847) 607-1589

Authorized Official

Name: DR. ANNA BASOV, PSYD, LCPC
Title: PRESIDENT
Phone: (847) 607-1589

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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