Genevieveconkeythorntonllc

NPI #1215182548 in Northbrook, Illinois

Provider Information

NPI Number: 1215182548
Entity Type: Organization
Organization Name: Genevieveconkeythorntonllc
Primary Specialty: Psychologist
Enumeration Date: Dec 1, 2008
Last Updated: Dec 1, 2008

Practice Location

Address: 899 SKOKIE BLVD
Address 2: 204
City: Northbrook
State: Illinois
ZIP Code: 60062-4019
Phone: (847) 559-3240

Authorized Official

Name: DR. GENEVIEVE CONKEY THORNTON, PSY.D.
Title: LICENSED CLINICAL PSYCHOLOGIST
Phone: (847) 559-3240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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