Advanced Behavioral Health P C

NPI #1346462850 in Peoria, Illinois

Provider Information

NPI Number
1346462850
Entity Type
Organization
Organization Name
Advanced Behavioral Health P C
Primary Specialty
Psychologist - Clinical
Enumeration Date
May 3, 2007
Last Updated
Aug 27, 2007

Practice Location

Address
8600 ROUTE 91, NORTH
Address 2
SUITE 240
City
Peoria
ZIP Code
61615
Phone
(309) 683-5094

Authorized Official

Name
DR. LISA LYNNE ROGERS, PSY.D.
Title
PRESIDENT CLINICAL PSYCHOLOGIST
Phone
(309) 648-9587

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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