Center for Rural Psychology

NPI #1356451009 in Elburn, Illinois

Provider Information

NPI Number
1356451009
Entity Type
Organization
Organization Name
Center for Rural Psychology
Primary Specialty
Voluntary or Charitable
Enumeration Date
Aug 30, 2006
Last Updated
Feb 13, 2008

Practice Location

Address
106 W PIERCE ST
City
Elburn
ZIP Code
60119-8201
Phone
(630) 365-0899

Authorized Official

Name
DR. MICHAEL WILLIAM MANGIS, PH.D.
Title
EXECUTIVE DIRECTOR
Phone
(630) 365-0899

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable

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