Mindy E Forman Psyd Pllc

NPI #1225639990 in Deerfield, Illinois

Provider Information

NPI Number: 1225639990
Entity Type: Organization
Organization Name: Mindy E Forman Psyd Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 7, 2020
Last Updated: Apr 18, 2025

Practice Location

Address: 1020 MILWAUKEE AVE STE 126
City: Deerfield
State: Illinois
ZIP Code: 60015-3561
Phone: (248) 703-4880

Authorized Official

Name: DR. MINDY ERIN FORMAN, PSYD
Title: CLINICAL PSYCHOLOGISY
Phone: (248) 703-4880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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